Provider Demographics
NPI:1013743483
Name:2FFA TRANS LLC
Entity type:Organization
Organization Name:2FFA TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:ABDO
Authorized Official - Last Name:TUFFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-503-1175
Mailing Address - Street 1:5722 N BLACK CANYON HWY APT 26
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017-2113
Mailing Address - Country:US
Mailing Address - Phone:602-503-1175
Mailing Address - Fax:602-603-2595
Practice Address - Street 1:5722 N BLACK CANYON HWY APT 26
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-2113
Practice Address - Country:US
Practice Address - Phone:602-503-1175
Practice Address - Fax:602-603-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)