Provider Demographics
NPI:1033776943
Name:COMFORT TRAVEL NON-EMERGENCY TRANSPORT LLC
Entity Type:Organization
Organization Name:COMFORT TRAVEL NON-EMERGENCY TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIVE
Authorized Official - Middle Name:WINSTON
Authorized Official - Last Name:DOCKERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-303-7669
Mailing Address - Street 1:4164 HEATON TER
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-2618
Mailing Address - Country:US
Mailing Address - Phone:941-303-7669
Mailing Address - Fax:
Practice Address - Street 1:4164 HEATON TER
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34286-2618
Practice Address - Country:US
Practice Address - Phone:941-303-7669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-26
Last Update Date:2019-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)