Provider Demographics
NPI:1770658445
Name:AT YOUR SERVICE TRANSPORT, INC.
Entity Type:Organization
Organization Name:AT YOUR SERVICE TRANSPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:SYLVIAN
Authorized Official - Last Name:PRINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:954-632-6374
Mailing Address - Street 1:10001 NW 50TH ST
Mailing Address - Street 2:SUITE 203H
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-8061
Mailing Address - Country:US
Mailing Address - Phone:954-323-4092
Mailing Address - Fax:954-323-4221
Practice Address - Street 1:10001 NW 50TH ST
Practice Address - Street 2:SUITE 203H
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-8061
Practice Address - Country:US
Practice Address - Phone:954-323-4092
Practice Address - Fax:954-323-4221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10-75343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)