Provider Demographics
NPI:1174580112
Name:SOUTH FLORIDA MOBILITY, INC.
Entity type:Organization
Organization Name:SOUTH FLORIDA MOBILITY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:ATS, CRTS
Authorized Official - Phone:954-946-5793
Mailing Address - Street 1:1404 SW 13TH CT
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-4709
Mailing Address - Country:US
Mailing Address - Phone:954-946-5793
Mailing Address - Fax:954-946-5716
Practice Address - Street 1:1404 SW 13TH CT
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4709
Practice Address - Country:US
Practice Address - Phone:954-946-5793
Practice Address - Fax:954-946-5716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL943332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL951188196Medicaid
FLR5000OtherBC/BS
FL951188100Medicaid
FL951188179Medicaid
FLR5000OtherBC/BS