Southwest Mobility Incorporated

Key facts

NPI

1730105958

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

SOUTHWEST MOBILITY INCORPORATED

Practice address

335 Semoran Blvd
Suite 127
Fern Park, FL 32730-2782

Phone

(407) 975-0800

Fax

(407) 975-0833

NPI assigned

Jul 14, 2006

Organization subpart

No

Authorized official

Name

Mrs. Sabrina Farmer

Title

Secretary

Phone

(386) 426-2970

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Scooter Mobility Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 16, 2010.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1730105958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1972 STATE ROAD 44",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688349",
            "telephone_number": "386-426-5069",
            "fax_number": "386-426-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 SEMORAN BLVD",
            "address_2": "SUITE 127",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302782",
            "telephone_number": "407-975-0800",
            "fax_number": "407-975-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MOBILITY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "386-426-2970",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022312300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scooter Mobility Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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