Provider Demographics
NPI:1942722830
Name:APLUS NON EMERGENCY MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:APLUS NON EMERGENCY MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:RUVESPIERE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CADUNGOG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-729-7619
Mailing Address - Street 1:3884 HAMPTON HILLS DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33810-3839
Mailing Address - Country:US
Mailing Address - Phone:504-729-7619
Mailing Address - Fax:
Practice Address - Street 1:3884 HAMPTON HILLS DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33810-3839
Practice Address - Country:US
Practice Address - Phone:504-729-7619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLI2000052558343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1689069114Medicaid