Organization
EXPRESS WHEELCHAIR TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR SUID (MANAGING MEMBER)
(727) 318-0498
Entity
Organization
Contact information
Practice address
12001 DR M.L.K JR. STREET NORTH, 3803, SAINT PETERSBURG, FL 33716
(727) 318-0498
Mailing address
12001 DR M.L.K JR. STREET NORTH, 3803, SAINT PETERSBURG, FL 33716
(727) 318-0498
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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