Provider Demographics
NPI:1437938347
Name:MEDICAL TRAVEL LLC
Entity Type:Organization
Organization Name:MEDICAL TRAVEL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-599-7474
Mailing Address - Street 1:5001 SW 20TH ST APT 7206
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-8710
Mailing Address - Country:US
Mailing Address - Phone:786-599-7474
Mailing Address - Fax:
Practice Address - Street 1:5001 SW 20TH ST APT 7206
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8710
Practice Address - Country:US
Practice Address - Phone:786-599-7474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)