Statewide Mobility Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STATEWIDE MOBILITY INC

Practice address

1141 S Military TRL
Deerfield Beach, FL 33442-7645

Phone

(877) 721-7748

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Andrew John Fatalo

Title

President

Phone

(877) 721-7748

Specialties & licenses 1

Addresses

Other names 1

• Mobility Direct Doing business as

Locations

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1174217475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427645",
            "telephone_number": "877-721-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427645",
            "telephone_number": "877-721-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27241 Bay Landing Dr Ste 11",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354334",
            "country_code": "US",
            "telephone_number": "877-721-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STATEWIDE MOBILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "FATALO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-721-7748"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Direct",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marielena Anne Stanescu
• Aleksander Vale Stanic
• Andrija Vale Stanic II
• Sheldon Stanley
• April Stansberry
• Sabrina Leeann Steadward
• Kristin Michelle Steede, MD
• Chelsea Steel
• David Stein
• Esther Steinberg, MEDICAL TATTOO,

• Durable Medical Equipment & Medical Supplies in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.