MEDICARE: CAREFIRST MOBILITY

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1114734985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREFIRST MOBILITY

Provider Business Mailing Address
First Line	:	1115 GREEN PINE BLVD APT G2
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7057
Country	:	US
Telephone Number	:	561-306-3379
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 GREEN PINE BLVD APT G2
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7057
Country	:	US
Telephone Number	:	561-306-3379
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JEAN-THONY DUSSUAUD
Credential	:
Telephone Number	:	561-306-3379

Provider Enumeration Date	:	12/16/2024
Last Update Date	:	12/16/2024

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Directions to “CAREFIRST MOBILITY ” Practice Location

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