Organization
BRIDE MOBILITY OF TAMPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALENA SANTOS (CEO)
(813) 787-8375
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) 621-2001
(813) 701-9681
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/20/2024
Last updated
04/30/2024
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