Provider Demographics
NPI:1659348910
Name:DAVE & IRENE WHITE INC.
Entity Type:Organization
Organization Name:DAVE & IRENE WHITE INC.
Other - Org Name:MOBILITY EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BATICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-480-0445
Mailing Address - Street 1:1049 U.S. 41 BYPASS S.
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285
Mailing Address - Country:US
Mailing Address - Phone:941-480-0445
Mailing Address - Fax:941-480-1545
Practice Address - Street 1:1049 U.S. 41 BYPASS S.
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285
Practice Address - Country:US
Practice Address - Phone:941-480-0445
Practice Address - Fax:941-480-1545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312220332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5198860001Medicare NSC