Provider Demographics
NPI:1568613248
Name:WHEELCHAIR DOCTOR, INC.
Entity Type:Organization
Organization Name:WHEELCHAIR DOCTOR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORP SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:HARADON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-979-7781
Mailing Address - Street 1:1911 W COPANS RD
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-1517
Mailing Address - Country:US
Mailing Address - Phone:954-979-7781
Mailing Address - Fax:954-979-7781
Practice Address - Street 1:1911 W COPANS RD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-1517
Practice Address - Country:US
Practice Address - Phone:954-979-7781
Practice Address - Fax:954-979-7781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1852332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies