Provider Demographics
NPI:1255012175
Name:FLORIDA KEYS MEDICAL TRANSPORTATION, LLC
Entity type:Organization
Organization Name:FLORIDA KEYS MEDICAL TRANSPORTATION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:BONILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-975-4387
Mailing Address - Street 1:PO BOX 1259
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-1259
Mailing Address - Country:US
Mailing Address - Phone:305-414-8136
Mailing Address - Fax:
Practice Address - Street 1:91421 OVERSEAS HWY STE 102
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2542
Practice Address - Country:US
Practice Address - Phone:305-414-8136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport