STATEWIDE MOBILITY INC NPI 1174217475

NPI Information

  • NPI: 1174217475
  • Provider Name: STATEWIDE MOBILITY INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 1141 S MILITARY TRL
    DEERFIELD BEACH, FL
    ZIP 33442
  • Phone: (877) 721-7748

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NPI Details

STATEWIDE MOBILITY INC is a durable medical equipment medical supplies in Deerfield Beach, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. STATEWIDE MOBILITY INC NPI is 1174217475. The provider is registered as an organization entity type.

The provider's business location address is:

1141 S MILITARY TRL
DEERFIELD BEACH, FL
ZIP 33442-645
Phone: (877) 721-7748

The provider's authorized official is Andrew John Fatalo .
The authorized official title is President and has the following contact phone number (877) 721-7748.

The enumeration date for this NPI number is 6/8/2023 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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