The Mobility Store LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1313617 Issued in FL

Legal business name

THE MOBILITY STORE LLC

Practice address

915 N Florida Ave
Lakeland, FL 33801-1707

Phone

(863) 688-3900

Fax

(863) 688-3991

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Renee Nakhoul

Title

Owner

Phone

(863) 688-3900

Specialties & licenses 1

Addresses

Other names 1

• Mobility Express Doing business as

Locations

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1184956682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338011707",
            "telephone_number": "863-688-3900",
            "fax_number": "863-688-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338011707",
            "telephone_number": "863-688-3900",
            "fax_number": "863-688-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOBILITY STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "NAKHOUL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-688-3900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Lakeland, FL
• Providers in Lakeland, 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 Mar 24, 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.