Organization Active NPI

South Florida Mobility, Inc.

  • Customized Equipment (DME)
  • Pompano Beach, FL
National Provider Identifier
1174580112
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
943 Issued in FL
Legal business name
SOUTH FLORIDA MOBILITY, INC.
Practice address
1404 SW 13TH CT
Pompano Beach, FL 33069-4709
Phone
(954) 946-5793
Fax
(954) 946-5716
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Mr. Carey J Britton, ATS, CRTS
Title
President
Phone
(954) 946-5793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 943 FL Primary

Addresses

Primary practice location

1404 SW 13TH CT
Pompano Beach, FL 33069-4709

Mailing address

1404 SW 13TH CT
Pompano Beach, FL 33069-4709
Phone (954) 946-5793

Other identifiers 4

IdentifierTypeStateIssuer
951188196MedicaidFL
R5000OtherFLBC/BS
951188100MedicaidFL
951188179MedicaidFL

Other names 1

  • Active Mobility Center Doing business as

National Provider Directory

National Provider Directory

Locations

1404 SW 13th Ct
Pompano Beach, FL 33069
Phone (954) 946-5793

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1174580112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 SW 13TH CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694709",
            "telephone_number": "954-946-5793",
            "fax_number": "954-946-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 SW 13TH CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694709",
            "telephone_number": "954-946-5793",
            "fax_number": "954-946-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-946-5793",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATS, CRTS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951188196",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "R5000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951188100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951188179",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Mobility Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.