Provider Demographics
NPI:1821283185
Name:MEDICAL MECHANICS, INC.
Entity Type:Organization
Organization Name:MEDICAL MECHANICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:LACE
Authorized Official - Last Name:TERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-388-4777
Mailing Address - Street 1:4777 LENOX AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-4977
Mailing Address - Country:US
Mailing Address - Phone:904-388-4777
Mailing Address - Fax:904-388-4333
Practice Address - Street 1:4777 LENOX AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-4977
Practice Address - Country:US
Practice Address - Phone:904-388-4777
Practice Address - Fax:904-388-4333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26-8013896529-9332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies