MEDICARE: AMERICAN SERVICES CEA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1073231262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN SERVICES CEA LLC

Provider Business Mailing Address
First Line	:	128 LAKE FRANCES DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2322
Country	:	US
Telephone Number	:	561-888-2823
Fax Number	:

Provider Business Practice Location Address
First Line	:	128 LAKE FRANCES DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2322
Country	:	US
Telephone Number	:	561-888-2823
Fax Number	:

Authorized Official
Title or Position	:	RA
Name	:	MISS VICTORIA GARCIA
Credential	:
Telephone Number	:	561-888-2823

Provider Enumeration Date	:	08/15/2022
Last Update Date	:	08/15/2022

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