| NPI | 1114018611 |
|---|---|
| Doing Business As | SUN STATE SCOOTER MOBILITY |
| Entity Type | Organization |
| Authorized Contact | CHARLES JAY MOLLENHOUR Co Member 520-326-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |