Provider Demographics
NPI:1306727151
Name:ANDREA'S MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:ANDREA'S MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIDELBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-356-1683
Mailing Address - Street 1:226 NE 118TH ST
Mailing Address - Street 2:
Mailing Address - City:CROSS CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32628-5647
Mailing Address - Country:US
Mailing Address - Phone:352-356-1683
Mailing Address - Fax:
Practice Address - Street 1:226 NE 118TH ST
Practice Address - Street 2:
Practice Address - City:CROSS CITY
Practice Address - State:FL
Practice Address - Zip Code:32628-5647
Practice Address - Country:US
Practice Address - Phone:352-356-1683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty