Provider Demographics
NPI:1508353574
Name:MED-RIDE OF FLORIDA LLC
Entity Type:Organization
Organization Name:MED-RIDE OF FLORIDA LLC
Other - Org Name:MEDRIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESPI VICTOR CARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-240-1800
Mailing Address - Street 1:250 INTERNATIONAL PKWY STE 134
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5044
Mailing Address - Country:US
Mailing Address - Phone:407-240-1800
Mailing Address - Fax:
Practice Address - Street 1:250 INTERNATIONAL PKWY STE 134
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-5044
Practice Address - Country:US
Practice Address - Phone:407-240-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)