Provider Demographics
NPI:1346585627
Name:FLORIDA MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:FLORIDA MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-589-2369
Mailing Address - Street 1:389 E SR 434 STE 100
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5217
Mailing Address - Country:US
Mailing Address - Phone:407-260-1230
Mailing Address - Fax:
Practice Address - Street 1:389 E SR 434 STE 100
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5217
Practice Address - Country:US
Practice Address - Phone:407-260-1230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)