Organization · NPI-2
6th St. Bridge Mobility And Home Care LLC
Durable Medical Equipment & Medical Supplies · Tampa, FL
NPI number1770118309
StatusActive
Last updated in NPPESMay 30, 2024
Details
- NPI
- 1770118309
- Entity type
- Organization (NPI-2)
- Legal business name
- 6th St. Bridge Mobility And Home Care LLC
- Organization subpart
- No
- Enumeration date
- Mar 4, 2020
- Certification date
- May 30, 2024
- Last updated
- May 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – |
Other names
- 6th St Bridge Mobility (Doing Business As)
Practice location
1205 Tech Blvd Ste 104Tampa, FL 33619-7856
Phone 813-621-2001 · Fax 813-701-9681
Mailing address
1205 Tech Blvd Ste 104Tampa, FL 33619-7856
Phone 813-787-8375 · Fax 813-714-7274
Authorized official
Richard Mcintyre
Owner
8132230000
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