Provider Demographics
NPI:1275226516
Name:MEDTREK MEDICAL TRANSPORT, INC.
Entity Type:Organization
Organization Name:MEDTREK MEDICAL TRANSPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JALIX
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-228-7900
Mailing Address - Street 1:3892 PROSPECT AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-3754
Mailing Address - Country:US
Mailing Address - Phone:239-228-7900
Mailing Address - Fax:
Practice Address - Street 1:3892 PROSPECT AVE STE 2
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-3754
Practice Address - Country:US
Practice Address - Phone:239-228-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance