| Entity Name: | MOBILITY SCOOTER CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Nov 1997 (27 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Jul 2017 (8 years ago) |
| Document Number: | P97000098969 |
| FEI/EIN Number | 593349474 |
| Address: | 748 N. HARBOR CITY BOULEVARD, MELBOURNE, FL, 32935, US |
| Mail Address: | 748 N. HARBOR CITY BOULEVARD, MELBOURNE, FL, 32935, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801891494 | 2005-06-20 | 2010-08-12 | 748 N HARBOR CITY BLVD, MELBOURNE, FL, 329356842, US | 748 N HARBOR CITY BLVD, MELBOURNE, FL, 329356842, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 321-752-4041 |
| Fax | 3217524085 |
Authorized person
| Name | ELLIE RUDOLPH |
| Role | OWNER |
| Phone | 3217524041 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 609 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 952013900 |
| State | FL |
| Issuer | BCBS |
| Number | R8501 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RUDOLPH ROBERT P | Agent | 748 N. HARBOR CITY BOULEVARD, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| RUDOLPH ROBERT P | President | 748 N. HARBOR CITY BLVD, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| RUDOLPH ELEANOR J | Vice President | 748 N. HARBOR CITY BLVD, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| KELLNER PAUL | ODM | 748 N. HARBOR CITY BLVD, MELBOURNE, FL, 32935 |
| KELLNER STEVEN | ODM | 748 N. HARBOR CITY BLVD, MELBOURNE, FL, 32935 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G99253900300 | MOBILITY MEDICAL EQUIPMENT | ACTIVE | 1999-09-10 | 2029-12-31 | No data | 748 N. HARBOR CITY BLVD., MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2017-07-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-01-23 |
| Amendment | 2017-07-20 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
