Provider Demographics
NPI:1588235162
Name:TOTAL TLC TRANSPORT INC
Entity Type:Organization
Organization Name:TOTAL TLC TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-445-9937
Mailing Address - Street 1:542 SW MCCOMB AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953
Mailing Address - Country:US
Mailing Address - Phone:561-445-9937
Mailing Address - Fax:
Practice Address - Street 1:1801 SE HILLMOOR DR #8107A
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952
Practice Address - Country:US
Practice Address - Phone:561-445-9937
Practice Address - Fax:888-579-1721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)