Organization Active NPI

Mr. Mobility Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Leesburg, FL
National Provider Identifier
1720035801
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1057 Issued in FL
Legal business name
MR. MOBILITY MEDICAL, INC.
Practice address
1323 S 14TH St
Leesburg, FL 34748-6600
Phone
(352) 323-8585
Fax
(352) 323-4802
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mr. Henry Stanley Zmyj
Title
Owner
Phone
(352) 323-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1057 FL Primary

Addresses

Primary practice location

1323 S 14TH St
Leesburg, FL 34748-6600

Mailing address

1323 S 14TH St
Leesburg, FL 34748-6600
Phone (352) 323-8585

Other identifiers 2

IdentifierTypeStateIssuer
R9210OtherFLBCBS
022471500MedicaidFL

National Provider Directory

National Provider Directory

Locations

3221 S Florida Ave
Inverness, FL 34450
Phone (352) 637-6088

1323 S 14th St
Leesburg, FL 34748
Phone (352) 323-8585

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1720035801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 S 14TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486600",
            "telephone_number": "352-323-8585",
            "fax_number": "352-323-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 S 14TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486600",
            "telephone_number": "352-323-8585",
            "fax_number": "352-323-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR. MOBILITY MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "ZMYJ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-323-8585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R9210",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022471500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.