Provider Demographics
NPI:1649014259
Name:EMPIRE NEMT OF SOUTH FLORIDA, LLC
Entity type:Organization
Organization Name:EMPIRE NEMT OF SOUTH FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-847-5565
Mailing Address - Street 1:1501 BELVEDERE RD # 500
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-1501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:888-519-5510
Practice Address - Street 1:1501 BELVEDERE RD # 500
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-1501
Practice Address - Country:US
Practice Address - Phone:561-970-0394
Practice Address - Fax:888-519-5510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No342000000XTransportation ServicesTransportation Network Company