Provider Demographics
NPI:1639672884
Name:VIP TRANSPORT EXPRESS, INC.
Entity Type:Organization
Organization Name:VIP TRANSPORT EXPRESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENZUELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-792-2940
Mailing Address - Street 1:801 NORTHPOINT PARKWAY
Mailing Address - Street 2:# 46
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:561-792-2940
Mailing Address - Fax:
Practice Address - Street 1:801 NORTHPOINT PARKWAY
Practice Address - Street 2:# 46
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-792-2940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EPICMD TECHNOLOGIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)