Provider Demographics
NPI:1710488127
Name:EXXEL MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:EXXEL MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNADEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-426-1745
Mailing Address - Street 1:164 W 34TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5228
Mailing Address - Country:US
Mailing Address - Phone:786-426-1745
Mailing Address - Fax:
Practice Address - Street 1:164 W 34TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5228
Practice Address - Country:US
Practice Address - Phone:786-426-1745
Practice Address - Fax:786-426-1745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLH655780649581343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)