Provider Demographics
NPI:1841772480
Name:RED CARPET SEDAN INC
Entity Type:Organization
Organization Name:RED CARPET SEDAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:VERSHAN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-584-9398
Mailing Address - Street 1:4261 VICTORIA LAKES DR W
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32226-0705
Mailing Address - Country:US
Mailing Address - Phone:904-584-9398
Mailing Address - Fax:
Practice Address - Street 1:4261 VICTORIA LAKES DR W
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32226-0705
Practice Address - Country:US
Practice Address - Phone:904-584-9398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi