MEDICARE: WHEELZ ON DEMAND 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	:	1174214662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHEELZ ON DEMAND LLC

Provider Business Mailing Address
First Line	:	1304 FAIRFAX CIR E
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-8612
Country	:	US
Telephone Number	:	561-839-0383
Fax Number	:

Provider Business Practice Location Address
First Line	:	1304 FAIRFAX CIR E
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-8612
Country	:	US
Telephone Number	:	561-839-0383
Fax Number	:

Authorized Official
Title or Position	:	AMBR
Name	:	NANCY PIERRE
Credential	:	LPN
Telephone Number	:	561-839-0383

Provider Enumeration Date	:	05/16/2023
Last Update Date	:	05/16/2023

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