Provider Demographics
NPI:1992826697
Name:MOBILITY SOLUTIONS USA, INC.
Entity Type:Organization
Organization Name:MOBILITY SOLUTIONS USA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-798-0357
Mailing Address - Street 1:877 SW SOUTH MACEDO BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-1815
Mailing Address - Country:US
Mailing Address - Phone:877-816-1709
Mailing Address - Fax:866-430-7946
Practice Address - Street 1:877 SW SOUTH MACEDO BLVD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-1815
Practice Address - Country:US
Practice Address - Phone:877-816-1709
Practice Address - Fax:866-430-7946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312793332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5633660001Medicare ID - Type UnspecifiedPROVIDER NUMBER