Organization
MDRIDES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEGEL BOSS MBA (COO)
(813) 475-2596
Entity
Organization
Contact information
Practice address
8431 RADIO LANE, TAMPA, FL 33619
(813) 475-2596
Mailing address
9225 BAY PLAZA BLVD STE 417, TAMPA, FL 33619-4412
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
FL
Enumeration date
06/03/2025
Last updated
06/03/2025
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