Provider Demographics
NPI:1225227473
Name:INDEPENDANT MOBILITY SERVICES
Entity type:Organization
Organization Name:INDEPENDANT MOBILITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-693-5252
Mailing Address - Street 1:6328 NW 175TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4437
Mailing Address - Country:US
Mailing Address - Phone:305-693-5242
Mailing Address - Fax:305-693-5234
Practice Address - Street 1:1015 E 28TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3721
Practice Address - Country:US
Practice Address - Phone:305-693-5242
Practice Address - Fax:305-693-5234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment