Organization
MOBILITY SCOOTER CENTER INC
Active
Other names
Mobility Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE RUDOLPH (OWNER)
(321) 752-4041
Entity
Organization
Contact information
Practice address
748 N HARBOR CITY BLVD, MELBOURNE, FL 32935-6842
(321) 752-4041
(321) 752-4085
Mailing address
748 N HARBOR CITY BLVD, MELBOURNE, FL 32935-6842
(321) 752-4041
(321) 752-4085
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
952013900
—
FL
01
—
R8501
BCBS
FL
Enumeration date
06/20/2005
Last updated
08/12/2010
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