Provider Demographics
NPI:1821220583
Name:FLORIDA GOOD FAITH INVESTORS LLC
Entity Type:Organization
Organization Name:FLORIDA GOOD FAITH INVESTORS LLC
Other - Org Name:GOOD FAITH MEDICAL TRANSPORTATION & SHUTTLE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GERMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:754-204-4200
Mailing Address - Street 1:545 NE 160TH TER
Mailing Address - Street 2:
Mailing Address - City:N MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4340
Mailing Address - Country:US
Mailing Address - Phone:954-961-5888
Mailing Address - Fax:954-966-0908
Practice Address - Street 1:3600 S STATE ROAD 7
Practice Address - Street 2:SUITE # 32
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5200
Practice Address - Country:US
Practice Address - Phone:954-961-5888
Practice Address - Fax:954-966-0908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-14
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)