Provider Demographics
NPI:1770082315
Name:VIP EXPRESS TOURS, INC.
Entity type:Organization
Organization Name:VIP EXPRESS TOURS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILLUAME
Authorized Official - Middle Name:
Authorized Official - Last Name:DESEME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-624-9795
Mailing Address - Street 1:1970 E OSCEOLA PKWY # 351
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-8629
Mailing Address - Country:US
Mailing Address - Phone:407-624-9795
Mailing Address - Fax:407-350-3226
Practice Address - Street 1:2319 LILY PAD LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-3677
Practice Address - Country:US
Practice Address - Phone:407-624-9795
Practice Address - Fax:407-350-3226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-09
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)