Provider Demographics
NPI:1891229035
Name:THROWER MOBILITY TRANSPORTATION SERVICES CORP
Entity Type:Organization
Organization Name:THROWER MOBILITY TRANSPORTATION SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:CLAYTON
Authorized Official - Last Name:THROWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-348-4054
Mailing Address - Street 1:5935 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-1053
Mailing Address - Country:US
Mailing Address - Phone:786-322-5919
Mailing Address - Fax:305-468-6457
Practice Address - Street 1:5935 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-1053
Practice Address - Country:US
Practice Address - Phone:786-322-5919
Practice Address - Fax:305-468-6457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)