Active Mobility & Design INC
Durable Medical Equipment & Medical Supplies in Fort Pierce, FL. Organization (NPI-2).
NPI number1265428437
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1265428437
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Mobility & Design INC
- Organization subpart
- No
- Enumeration date
- Sep 23, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1507 | FL | Yes |
Other names
- Buddy'S Holiday Mobility (Doing Business As)
Practice location
6144 S Us Highway 1Fort Pierce, FL 34982-3951
Phone 772-465-9600 · Fax 772-465-0966
Mailing address
6144 S Us Highway 1Fort Pierce, FL 34982-3951
Phone 772-465-9600 · Fax 772-465-0966
Authorized official
William D Bowes
Secretary/Treasurer
7724659600
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