Basic Information
| Provider Information | |||||||||
| NPI: | 1922088764 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WHEELCHAIRS PLUS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 66149 | ||||||||
| Address2: | |||||||||
| City: | ORANGE PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 320650020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9046446220 | ||||||||
| FaxNumber: | 9046446221 | ||||||||
| Practice Location | |||||||||
| Address1: | 2580 COUNTY ROAD 220 | ||||||||
| Address2: | |||||||||
| City: | MIDDLEBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 320686532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9046446220 | ||||||||
| FaxNumber: | 9046446221 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2006 | ||||||||
| LastUpdateDate: | 05/18/2009 | ||||||||
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| AuthorizedOfficialLastName: | MCENANY | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
| AuthorizedOfficialMiddleName: | J. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9046446220 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BC3200X | 688 | FL | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment |
ID Information
| ID | Type | State | Issuer | Description | 027797500 | 05 | FL | MEDICAID |