Provider Demographics
NPI:1467653345
Name:MOBILITY SOLUTIONS, INC
Entity Type:Organization
Organization Name:MOBILITY SOLUTIONS, INC
Other - Org Name:TRAVIS MEDICAL SALES CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYRONE (CHRIS)
Authorized Official - Middle Name:D
Authorized Official - Last Name:YULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-458-4589
Mailing Address - Street 1:7135 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6104
Mailing Address - Country:US
Mailing Address - Phone:727-375-2102
Mailing Address - Fax:
Practice Address - Street 1:2517 MERCHANT AVE
Practice Address - Street 2:UNIT B
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-3470
Practice Address - Country:US
Practice Address - Phone:727-375-2102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1009332B00000X
FL1313249332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3986070002Medicare NSC