Provider Demographics
NPI:1578183216
Name:SW FLORIDA MEDICAL TRANSPORT INC.
Entity Type:Organization
Organization Name:SW FLORIDA MEDICAL TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YANET
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-240-1929
Mailing Address - Street 1:507 NE 1ST PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-1911
Mailing Address - Country:US
Mailing Address - Phone:239-240-1929
Mailing Address - Fax:
Practice Address - Street 1:507 NE 1ST PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-1911
Practice Address - Country:US
Practice Address - Phone:239-240-1929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)