Provider Demographics
NPI:1376304006
Name:EXPRESS CARE MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:EXPRESS CARE MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FREDLINE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CIRIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-590-7756
Mailing Address - Street 1:PO BOX 267491
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-7491
Mailing Address - Country:US
Mailing Address - Phone:850-590-7756
Mailing Address - Fax:
Practice Address - Street 1:3800 INVERRARY BLVD STE 207
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4358
Practice Address - Country:US
Practice Address - Phone:850-590-7756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)