Provider Demographics
NPI:1720340003
Name:COMFORT-N-MOBILITY, INC
Entity Type:Organization
Organization Name:COMFORT-N-MOBILITY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:BOHATKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-934-5217
Mailing Address - Street 1:3082 GULF BREEZE PKWY
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-3246
Mailing Address - Country:US
Mailing Address - Phone:850-934-5217
Mailing Address - Fax:850-934-4771
Practice Address - Street 1:2317 E 15TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-6345
Practice Address - Country:US
Practice Address - Phone:850-257-5777
Practice Address - Fax:850-257-5238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1079332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1268820002Medicare NSC