Provider Demographics
NPI:1942960612
Name:SAINT FLEUR, ALVINS
Entity Type:Individual
Prefix:
First Name:ALVINS
Middle Name:
Last Name:SAINT FLEUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6413 CATALINA LN
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-5529
Mailing Address - Country:US
Mailing Address - Phone:954-289-7040
Mailing Address - Fax:
Practice Address - Street 1:6413 CATALINA LN
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-5529
Practice Address - Country:US
Practice Address - Phone:954-289-7040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2023MT513018341600000X, 3416L0300X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)