Provider Demographics
NPI:1568599603
Name:P & A MOBILITY ENTERPRISES INC
Entity Type:Organization
Organization Name:P & A MOBILITY ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOUEIFATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-739-5648
Mailing Address - Street 1:320 CORTEZ RD W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-1541
Mailing Address - Country:US
Mailing Address - Phone:941-739-5648
Mailing Address - Fax:941-739-5717
Practice Address - Street 1:320 CORTEZ RD W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-1541
Practice Address - Country:US
Practice Address - Phone:941-739-5648
Practice Address - Fax:941-739-5717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL548332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1208650001Medicare NSC