Mobile Medical Equipment Repair, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MOBILE MEDICAL EQUIPMENT REPAIR, LLC

Doing business as

Mobile Medical Equipment Repair, LLC
Space Coast Mobility

Practice address

5275 Babcock St NE Ste 3&4
Palm Bay, FL 32905-8631

Phone

(321) 372-1355

Fax

(321) 327-3339

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Dorothy A Mancini

Title

Ceo

Phone

(321) 372-1355

Specialties & licenses 1

Addresses

Other names 2

• Mobile Medical Equipment Repair, LLC Doing business as
• Space Coast Mobility Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1730965963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 MAJESTIC PINE CT NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054023",
            "telephone_number": "772-924-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 BABCOCK ST NE STE 3&4",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329058631",
            "telephone_number": "321-372-1355",
            "fax_number": "321-327-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL EQUIPMENT REPAIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "MANCINI",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-372-1355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Medical Equipment Repair, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Space Coast Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edith Mitchell, CNA
• Marjorie Elane Mitchell, MA
• Sara Mitchell
• Carol Mithil
• Fanel Mitial
• Devang N Modi, R.PH,MS
• Hiral Mukundkumar Modi, D.M.D
• Mohammad Idrees MD, P.a.
• Adrienne Michelle Monica, RBT
• Jeremy Delos Monk

• Customized Equipment (DME) in Palm Bay, FL
• Providers in Palm Bay, 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 Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.