MEDICARE: BIG BEND NET 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1437954732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIG BEND NET LLC

Provider Business Mailing Address
First Line	:	3613 MORSE CT
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-3248
Country	:	US
Telephone Number	:	850-297-4182
Fax Number	:

Provider Business Practice Location Address
First Line	:	3613 MORSE CT
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-3248
Country	:	US
Telephone Number	:	850-297-4182
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	CORY GERBRANDT
Credential	:
Telephone Number	:	850-274-4182

Provider Enumeration Date	:	02/19/2025
Last Update Date	:	02/19/2025

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Directions to “BIG BEND NET LLC ” Practice Location

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