Provider Demographics
NPI:1710086467
Name:MOBILITY PLUS, INC.
Entity Type:Organization
Organization Name:MOBILITY PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUTHERFORD
Authorized Official - Middle Name:J
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-386-4606
Mailing Address - Street 1:3025 NATHAN LN
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-6289
Mailing Address - Country:US
Mailing Address - Phone:850-386-4606
Mailing Address - Fax:850-385-6730
Practice Address - Street 1:3025 NATHAN LN
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-6289
Practice Address - Country:US
Practice Address - Phone:850-386-4606
Practice Address - Fax:850-385-6730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312079332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR9614OtherBCBS OF FL PROVIDER ID
FL687713379Medicaid
GA758735423BMedicaid
FL026731700Medicaid
FL690474296Medicaid
FL687713379Medicaid