Provider Demographics
NPI:1891209698
Name:AMBASSADOR GROUP OF NORTH AMERICA, LLC
Entity Type:Organization
Organization Name:AMBASSADOR GROUP OF NORTH AMERICA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CUSTOMER SERVICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-874-1300
Mailing Address - Street 1:4419 N HUBERT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7615
Mailing Address - Country:US
Mailing Address - Phone:813-874-1300
Mailing Address - Fax:813-874-2002
Practice Address - Street 1:4419 N HUBERT AVE STE A
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7615
Practice Address - Country:US
Practice Address - Phone:813-874-1300
Practice Address - Fax:813-874-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-01
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker