Provider Demographics
NPI:1689651523
Name:MOBILITY PRODUCTS UNLIMITED LLC
Entity Type:Organization
Organization Name:MOBILITY PRODUCTS UNLIMITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:DONAHUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-224-2482
Mailing Address - Street 1:2400 S RIDGEWOOD AVE
Mailing Address - Street 2:SUITE 48
Mailing Address - City:SOUTH DAYTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32119
Mailing Address - Country:US
Mailing Address - Phone:888-224-2482
Mailing Address - Fax:386-267-1591
Practice Address - Street 1:2400 S RIDGEWOOD AVE
Practice Address - Street 2:SUITE 48
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119
Practice Address - Country:US
Practice Address - Phone:888-224-2482
Practice Address - Fax:386-267-1591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-30
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1038332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1132080001Medicare NSC