Provider Demographics
NPI:1407042641
Name:FREEDOM MOBILITY AND SEATING
Entity Type:Organization
Organization Name:FREEDOM MOBILITY AND SEATING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MANTEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-948-9392
Mailing Address - Street 1:817 E OKALOOSA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-1631
Mailing Address - Country:US
Mailing Address - Phone:813-948-9392
Mailing Address - Fax:813-948-3773
Practice Address - Street 1:817 E OKALOOSA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-1631
Practice Address - Country:US
Practice Address - Phone:813-948-9392
Practice Address - Fax:813-948-3773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies