Gator Custom Mobility, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

1543 Issued in FL

Legal business name

GATOR CUSTOM MOBILITY, INC.

Practice address

501 NE 23Rd Ave
Gainesville, FL 32609-8604

Phone

(352) 373-9673

Fax

(352) 271-9070

NPI assigned

Jul 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory Scott Sims

Title

General Manager

Phone

(352) 373-9673

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003840083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NE 23RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098604",
            "telephone_number": "352-373-9673",
            "fax_number": "352-271-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NE 23RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098604",
            "telephone_number": "352-373-9673",
            "fax_number": "352-271-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATOR CUSTOM MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "352-373-9673",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "1543",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "047295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Gates
• Regis Gates
• Tanaka Gates
• Sebastian Rodrigo Gatica Moris, M.D.
• Stephanie Gato, APRN
• Gator Emergency Physicians
• Gator Health and Rehab Associates
• Gator Nannies, Inc
• Gator Nannies, Inc
• Gator Transport Services LLC

• Customized Equipment (DME) in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.