Provider Demographics
NPI:1790282374
Name:FITZ CAB
Entity Type:Organization
Organization Name:FITZ CAB
Other - Org Name:FITZ CAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-324-1361
Mailing Address - Street 1:245 WEXFORD DR W # 23434
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8002
Mailing Address - Country:US
Mailing Address - Phone:757-324-1361
Mailing Address - Fax:
Practice Address - Street 1:245 WEXFORD DR W # 23434
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8002
Practice Address - Country:US
Practice Address - Phone:757-324-1361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi