IMAJICA MOTTLEY MEDICAL SUPPLY
NPI 1225824857
Durable Medical Equipment & Medical Supplies in Lake Park, FL

Active since April 18, 2025
417 SILVER BEACH RD, LAKE PARK, FL 33403(813) 497-2959(813) 592-6728 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Imajica Mottley Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMAJICA MOTTLEY MEDICAL SUPPLY (NPI 1225824857) is a healthcare organization registered as a durable medical equipment & medical supplies in Lake Park, Florida and active in the NPI registry since April 2025. The organization lists Imajica Mottley, President, as its authorized official.

NPPES Registry Identity

NPI1225824857
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameIMAJICA MOTTLEY MEDICAL SUPPLY
Location Address417 SILVER BEACH RDLake Park, FL 33403-3324
Mailing Address417 Silver Beach RdLake Park, FL 33403-3324 · (813) 497-2959 · Fax (813) 592-6728
Fax(813) 592-6728
Organization SubpartNo
Authorized OfficialImajica MottleyPresident · (813) 497-2959
Enumeration DateApril 18, 2025
NPPES CertifiedApril 18, 2025
NPI 1225824857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
417 SILVER BEACH RD, Lake Park, FL 33403

Other Names 1

Doing Business AsImajica Mottley Medical Supply

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imajica Mottley Medical Supply's NPI number?

The NPI number for Imajica Mottley Medical Supply is 1225824857. It was assigned to this organization in the NPPES registry on April 18, 2025.

Where is Imajica Mottley Medical Supply located?

Imajica Mottley Medical Supply is located at 417 Silver Beach Rd, Lake Park, FL 33403. The listed phone number is (813) 497-2959.

What is Imajica Mottley Medical Supply's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Imajica Mottley Medical Supply was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.