Provider Demographics
NPI:1710429733
Name:CARE TRANSPORTATION LOGISTICS, INC.
Entity Type:Organization
Organization Name:CARE TRANSPORTATION LOGISTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CEDRIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-225-3053
Mailing Address - Street 1:2050 62ND AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702
Mailing Address - Country:US
Mailing Address - Phone:877-903-8607
Mailing Address - Fax:888-855-5723
Practice Address - Street 1:2050 62ND AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702
Practice Address - Country:US
Practice Address - Phone:877-903-8607
Practice Address - Fax:888-855-5723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)