Provider Demographics
NPI:1871615864
Name:COMMUNITY MOBILITY SERVICES
Entity type:Organization
Organization Name:COMMUNITY MOBILITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT SERVICE COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ORANE
Authorized Official - Middle Name:K
Authorized Official - Last Name:BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-360-1726
Mailing Address - Street 1:3080 N WASHINGTON BLVD
Mailing Address - Street 2:UNIT 6N
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-6235
Mailing Address - Country:US
Mailing Address - Phone:941-360-1726
Mailing Address - Fax:941-359-8332
Practice Address - Street 1:3080 N WASHINGTON BLVD
Practice Address - Street 2:UNIT 6N
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-6235
Practice Address - Country:US
Practice Address - Phone:941-360-1726
Practice Address - Fax:941-359-8332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies