Organization
MR. EARLY BIRD LOGISTICS LLC
Active
Parent organization
MR. TERIS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MR. TERIS LLC
Authorized official
TIMOTHY TERIS (CEO)
(863) 888-0151
Entity
Organization
Contact information
Practice address
500 S FLORIDA AVE, SUITE 415 PMB 1031, LAKELAND, FL 33801
(863) 888-0151
Mailing address
500 S FLORIDA AVE SUITE 415 PMB 1031, SUITE 415 PMB 1031, LAKELAND, FL 33801
(863) 888-0151
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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