Provider Demographics
NPI:1881678357
Name:MEDFLEET, INC
Entity Type:Organization
Organization Name:MEDFLEET, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:G
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-849-6849
Mailing Address - Street 1:5334 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-1738
Mailing Address - Country:US
Mailing Address - Phone:727-849-6849
Mailing Address - Fax:727-848-8475
Practice Address - Street 1:5334 SUNSET RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-1738
Practice Address - Country:US
Practice Address - Phone:727-849-6849
Practice Address - Fax:727-848-8475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0006183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLN0565OtherWELLCARE
FL590007591OtherRAIL ROAD MEDICARE PROV N
FL400010200Medicaid
FL500255OtherAETNA PROVIDER NO
FL400010200Medicaid