Provider Demographics
NPI:1750906632
Name:GUIDED MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:GUIDED MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:TOLES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:813-625-9957
Mailing Address - Street 1:PO BOX 621
Mailing Address - Street 2:
Mailing Address - City:LITHIA
Mailing Address - State:FL
Mailing Address - Zip Code:33547-0621
Mailing Address - Country:US
Mailing Address - Phone:813-419-4380
Mailing Address - Fax:813-354-2301
Practice Address - Street 1:5942 FROND WAY
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2646
Practice Address - Country:US
Practice Address - Phone:813-419-4380
Practice Address - Fax:813-354-2301
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUIDED LIFE CARE PLANNING SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-16
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty