Provider Demographics
NPI:1356837595
Name:A & J NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:A & J NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADIBOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-612-5733
Mailing Address - Street 1:1824 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3604
Mailing Address - Country:US
Mailing Address - Phone:954-612-5733
Mailing Address - Fax:
Practice Address - Street 1:1824 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3604
Practice Address - Country:US
Practice Address - Phone:954-612-5733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)