MEDICARE: COMFORT RIDE TRANSPORTATION 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)

General Provider Information

NPI Number	:	1447751755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT RIDE TRANSPORTATION INC.

Provider Business Mailing Address
First Line	:	1718 OAK GROVE CHASE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32820-2255
Country	:	US
Telephone Number	:	321-804-5233
Fax Number	:	321-804-5233

Provider Business Practice Location Address
First Line	:	1718 OAK GROVE CHASE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32820-2255
Country	:	US
Telephone Number	:	321-804-5233
Fax Number	:	321-804-5233

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL LOUIS DAMSEL
Credential	:
Telephone Number	:	321-804-5233

Provider Enumeration Date	:	02/22/2018
Last Update Date	:	02/22/2018

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