Provider Demographics
NPI:1255856118
Name:ALL POWERED MOBILITY, LLC
Entity Type:Organization
Organization Name:ALL POWERED MOBILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BURTON
Authorized Official - Middle Name:CHALKLEY
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-456-2362
Mailing Address - Street 1:1825 TAMIAMI TRL UNIT E3
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-1047
Mailing Address - Country:US
Mailing Address - Phone:941-625-0103
Mailing Address - Fax:855-711-4335
Practice Address - Street 1:1825 TAMIAMI TRL UNIT E3
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-1047
Practice Address - Country:US
Practice Address - Phone:941-625-0103
Practice Address - Fax:855-711-4335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-11
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
7672210001OtherPTAN