Organization
MDRIDES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEGEL BOSS (CFO)
(813) 475-2596
Entity
Organization
Contact information
Practice address
8431 RADIO LN, TAMPA, FL 33619-1319
(813) 475-2596
Mailing address
8431 RADIO LN, TAMPA, FL 33619-1319
(813) 540-8632
(813) 381-7719
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023894100
—
FL
Enumeration date
05/04/2017
Last updated
05/22/2025
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