Provider Demographics
NPI:1225675762
Name:MOVEMENT MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:MOVEMENT MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-401-3134
Mailing Address - Street 1:710 SW 93RD AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-1144
Mailing Address - Country:US
Mailing Address - Phone:954-404-3134
Mailing Address - Fax:888-832-9584
Practice Address - Street 1:710 SW 93RD AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-1144
Practice Address - Country:US
Practice Address - Phone:954-404-3134
Practice Address - Fax:888-832-9584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies