Medsouth Mobility Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

JXOOO4690 Issued in FL

Legal business name

MEDSOUTH MOBILITY INC.

Practice address

309 Normandy Ave
New Smyrna Beach, FL 32169-2419

Phone

(386) 427-3490

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Gillespie

Title

Pres

Phone

(386) 427-3490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1992161566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NORMANDY AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321692419",
            "telephone_number": "386-427-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NORMANDY AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321692419",
            "telephone_number": "386-427-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOUTH MOBILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "386-427-3490"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "FL",
            "license": "JXOOO4690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.