Provider Demographics
NPI:1578644563
Name:MOBILITY CENTER LLC
Entity Type:Organization
Organization Name:MOBILITY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERSCOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-861-2900
Mailing Address - Street 1:12826 US HIGHWAY 19
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-1992
Mailing Address - Country:US
Mailing Address - Phone:727-861-2900
Mailing Address - Fax:727-861-2677
Practice Address - Street 1:12826 US HIGHWAY 19
Practice Address - Street 2:SUITE B
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-1992
Practice Address - Country:US
Practice Address - Phone:727-861-2900
Practice Address - Fax:727-861-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312785332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5573400001Medicare ID - Type UnspecifiedMEDICARE