MEDICARE: ACCOUNTABLE ENTERPRISES 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	:	1285317958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCOUNTABLE ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	8865 COMMODITY CIR STE 14-103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-9056
Country	:	US
Telephone Number	:	914-335-0587
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 NEWFIELD AVENUE
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06905
Country	:	US
Telephone Number	:	914-335-0587
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZE MEMBER
Name	:	JAMES LINDSEY
Credential	:
Telephone Number	:	914-335-0587

Provider Enumeration Date	:	08/09/2023
Last Update Date	:	08/09/2023

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