Advanced 101 Mobility Solutions Corp

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

P16000036528 Issued in FL

Legal business name

ADVANCED 101 MOBILITY SOLUTIONS CORP

Doing business as

101 Mobility nOrlando

Practice address

5844 S Semoran Blvd
Orlando, FL 32822-4816

Phone

(407) 271-4199

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Francisco Olivera

Title

Owner

Phone

(787) 306-4353

Specialties & licenses 1

Addresses

Other names 1

• 101 Mobility nOrlando Doing business as

Tax ID family

101 Mobility Norlando2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Mobility of Central Florida Corp

  • Customized Equipment (DME)
  • Orlando, FL
  • NPI 1912411240
  NPD tax ID

Locations

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1154879864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224816",
            "telephone_number": "407-271-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224816",
            "telephone_number": "407-271-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED 101 MOBILITY SOLUTIONS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "OLIVERA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-306-4353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "P16000036528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "101 Mobility nOrlando",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Orlando, FL
• Providers in Orlando, 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 Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.