Mobility Technology Integrated LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MOBILITY TECHNOLOGY INTEGRATED LLC

Practice address

950 10TH St S # A9A10
Jacksonville Beach, FL 32250-3316

Phone

(949) 891-1881

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Jennie Ariel Joseph

Title

President

Phone

(949) 891-1881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1417787706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 MARINA SAN PABLO PL S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322244810",
            "telephone_number": "949-891-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 10TH ST S # A9A10",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503316",
            "telephone_number": "949-891-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY TECHNOLOGY INTEGRATED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-891-1881",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Jacksonville Beach, FL
• Providers in Jacksonville Beach, 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 2, 2024; 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.