Provider Demographics
NPI:1437863685
Name:BONCOMPTE, BARBARA (NEMT TRANSPORTATION)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:BONCOMPTE
Suffix:
Gender:F
Credentials:NEMT TRANSPORTATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3280 TAMIAMI TRL STE 55
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-8053
Mailing Address - Country:US
Mailing Address - Phone:941-380-2931
Mailing Address - Fax:
Practice Address - Street 1:3388 PORT CHARLOTTE BLVD
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-6645
Practice Address - Country:US
Practice Address - Phone:941-380-2931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)