Provider Demographics
NPI:1295580611
Name:MOJIDES GROUP LLC
Entity type:Organization
Organization Name:MOJIDES GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MOJISOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLAWON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-632-2121
Mailing Address - Street 1:7440 AZALEA COVE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-6216
Mailing Address - Country:US
Mailing Address - Phone:407-284-0194
Mailing Address - Fax:
Practice Address - Street 1:7440 AZALEA COVE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-6216
Practice Address - Country:US
Practice Address - Phone:407-284-0194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies