Provider Demographics
NPI:1184977449
Name:MOBILITY EXPRESS, INC
Entity type:Organization
Organization Name:MOBILITY EXPRESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FARES
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:RACHED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-849-0262
Mailing Address - Street 1:4320 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-5441
Mailing Address - Country:US
Mailing Address - Phone:727-849-0262
Mailing Address - Fax:727-849-1380
Practice Address - Street 1:2695 NW 10TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-5714
Practice Address - Country:US
Practice Address - Phone:352-433-4613
Practice Address - Fax:352-433-4614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies