Provider Demographics
NPI:1679543367
Name:MOBILITY EXPRESS OF DUNDEE
Entity Type:Organization
Organization Name:MOBILITY EXPRESS OF DUNDEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-439-1799
Mailing Address - Street 1:305 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:DUNDEE
Mailing Address - State:FL
Mailing Address - Zip Code:33838-4366
Mailing Address - Country:US
Mailing Address - Phone:863-439-1799
Mailing Address - Fax:863-439-1699
Practice Address - Street 1:305 CENTER ST
Practice Address - Street 2:
Practice Address - City:DUNDEE
Practice Address - State:FL
Practice Address - Zip Code:33838-4366
Practice Address - Country:US
Practice Address - Phone:863-439-1799
Practice Address - Fax:863-439-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR9155OtherBC/BS
1279030001Medicare ID - Type Unspecified