Provider Demographics
NPI:1083851638
Name:NATIONWIDE MOBILITYINC.
Entity Type:Organization
Organization Name:NATIONWIDE MOBILITYINC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LADY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:561-876-5835
Mailing Address - Street 1:4400 S OCEAN BLVD
Mailing Address - Street 2:UNIT 2
Mailing Address - City:HIGHLAND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33487-4294
Mailing Address - Country:US
Mailing Address - Phone:561-876-5835
Mailing Address - Fax:
Practice Address - Street 1:660 LINTON BLVD
Practice Address - Street 2:SUITE 200 EX-3
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-8167
Practice Address - Country:US
Practice Address - Phone:561-876-5835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-18
Last Update Date:2009-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies