Provider Demographics
NPI:1114082690
Name:AMERICAN MOBILITY, INC
Entity Type:Organization
Organization Name:AMERICAN MOBILITY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:VATH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:941-358-8482
Mailing Address - Street 1:4201 N WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-4842
Mailing Address - Country:US
Mailing Address - Phone:941-358-8482
Mailing Address - Fax:941-358-9277
Practice Address - Street 1:4201 N WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-4842
Practice Address - Country:US
Practice Address - Phone:941-358-8482
Practice Address - Fax:941-358-9277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1910332B00000X
FL332BC3200X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4672930001Medicare NSC
FL4672930001Medicare PIN