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NPI Code Detail

MEDICARE: MEDIRIDE TRANSPORTATION LLC

MEDICARE: MEDIRIDE TRANSPORTATION 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1144175720
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDIRIDE TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 8522 SAINT MARINO BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32836-8764
Country : US
Telephone Number : 407-714-7142
Fax Number :
Provider Business Practice Location Address
First Line : 8522 SAINT MARINO BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32836-8764
Country : US
Telephone Number : 407-714-7142
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KATHLEEN GOMEZ
Credential :
Telephone Number : 407-714-7142
Provider Enumeration Date : 02/28/2026
Last Update Date : 02/28/2026

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Directions to “MEDIRIDE TRANSPORTATION LLC ” Practice Location

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