Provider Demographics
NPI:1881191005
Name:AWASH TAXI LLC
Entity Type:Organization
Organization Name:AWASH TAXI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GETNET
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERHANE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:813-389-5611
Mailing Address - Street 1:1916 W SAINT JOSEPH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2040
Mailing Address - Country:US
Mailing Address - Phone:813-389-5611
Mailing Address - Fax:813-488-4637
Practice Address - Street 1:1916 W ST JOESPH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-3360
Practice Address - Country:US
Practice Address - Phone:813-389-5611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes344600000XTransportation ServicesTaxi
No172A00000XOther Service ProvidersDriverGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherNEMT TRANSPORTATION