Provider Demographics
NPI:1558820738
Name:INTERNATIONAL MOBILITYINC
Entity Type:Organization
Organization Name:INTERNATIONAL MOBILITYINC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-359-4696
Mailing Address - Street 1:2500 NW 79 AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1003
Mailing Address - Country:US
Mailing Address - Phone:786-359-4696
Mailing Address - Fax:786-452-7773
Practice Address - Street 1:2500 NW 79 AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1003
Practice Address - Country:US
Practice Address - Phone:786-359-4696
Practice Address - Fax:786-452-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3983OtherNUMBER