1174756217 NPI number — INDEPENDENT MOBILITY SALES INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174756217 NPI number — INDEPENDENT MOBILITY SALES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INDEPENDENT MOBILITY SALES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174756217
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6328 NW 175TH TERRACE
Provider Second Line Business Mailing Address:
INDEPENDENT MOBILITY SALES INC.
Provider Business Mailing Address City Name:
HIALEAH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33015-4437
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-693-5242
Provider Business Mailing Address Fax Number:
305-693-5234

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1015 EAST 28TH STREET
Provider Second Line Business Practice Location Address:
INDEPENDENT MOBILTY SALES INC.
Provider Business Practice Location Address City Name:
HIALEAH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-693-5242
Provider Business Practice Location Address Fax Number:
305-693-5234
Provider Enumeration Date:
08/24/2009

Additional Information

Authorized Official

Authorized Official Last Name:
(NMI)
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
FRIEDMAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-693-5242

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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