Organization
6TH ST. BRIDGE MOBILITY AND HOME CARE LLC
Active
Other names
6th St Bridge Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MCINTYRE (OWNER)
(813) 223-0000
Entity
Organization
Contact information
Practice address
1205 TECH BLVD STE 104, TAMPA, FL 33619-7856
(813) 621-2001
(813) 701-9681
Mailing address
1205 TECH BLVD STE 104, TAMPA, FL 33619-7856
(813) 787-8375
(813) 714-7274
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107636400
—
FL
Enumeration date
03/04/2020
Last updated
05/30/2024
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