Provider Demographics
NPI:1861728610
Name:WHEELCHAIR SPECIALTIES, INC
Entity type:Organization
Organization Name:WHEELCHAIR SPECIALTIES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:813-246-9116
Mailing Address - Street 1:4010 E HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-3848
Mailing Address - Country:US
Mailing Address - Phone:813-246-9116
Mailing Address - Fax:813-246-4635
Practice Address - Street 1:4010 E HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-3848
Practice Address - Country:US
Practice Address - Phone:813-246-9116
Practice Address - Fax:813-246-4635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL676630796Medicaid