Provider Demographics
NPI:1508922576
Name:MOBILITY STYLES INC
Entity Type:Organization
Organization Name:MOBILITY STYLES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:FARES
Authorized Official - Last Name:NAKHOUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-377-6607
Mailing Address - Street 1:19105 HERITAGE HARBOR PKWY
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-9707
Mailing Address - Country:US
Mailing Address - Phone:813-377-6607
Mailing Address - Fax:352-592-6461
Practice Address - Street 1:9300 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-6339
Practice Address - Country:US
Practice Address - Phone:352-597-4546
Practice Address - Fax:352-592-6461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1597332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4499730001Medicare NSC