Provider Demographics
NPI:1679628614
Name:MOBILITY EXPRESS, INC.
Entity Type:Organization
Organization Name:MOBILITY EXPRESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RACHED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-849-0262
Mailing Address - Street 1:11141 US HIGHWAY 19 N
Mailing Address - Street 2:STE 202
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-7443
Mailing Address - Country:US
Mailing Address - Phone:727-556-2917
Mailing Address - Fax:
Practice Address - Street 1:11141 US HIGHWAY 19 N
Practice Address - Street 2:STE 202
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-7443
Practice Address - Country:US
Practice Address - Phone:727-556-2917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL993332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0857530002Medicare NSC