MEDICARE: MED QUALITY TRANSPORT, INC.

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)		FL

General Provider Information

NPI Number	:	1255852489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED QUALITY TRANSPORT, INC.

Provider Business Mailing Address
First Line	:	9428 BAYMEADOWS RD STE 134
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7970
Country	:	US
Telephone Number	:	904-683-5938
Fax Number	:

Provider Business Practice Location Address
First Line	:	9428 BAYMEADOWS RD STE 134
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7970
Country	:	US
Telephone Number	:	904-683-5938
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GUILLERMO CUE
Credential	:
Telephone Number	:	904-683-5938

Provider Enumeration Date	:	06/28/2017
Last Update Date	:	07/21/2022

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