Organization
EXECUTIVE RIDE TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA ANGELA EDWRDS (PRESIDENT)
(954) 226-7948
Entity
Organization
Contact information
Practice address
12345 CROOKED CREEK LN, FORT MYERS, FL 33913-6726
(954) 226-7948
(954) 357-1004
Mailing address
101 NE 41ST ST APT B32, OAKLAND PARK, FL 33334-1338
(954) 226-7948
(954) 357-1004
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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