MEDICARE: REGALTRUST LOGISTICS 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	:	1558216820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGALTRUST LOGISTICS LLC

Provider Business Mailing Address
First Line	:	653 MONUMENT RD APT 609
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-6468
Country	:	US
Telephone Number	:	904-442-4521
Fax Number	:	904-442-4521

Provider Business Practice Location Address
First Line	:	653 MONUMENT RD APT 609
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-6468
Country	:	US
Telephone Number	:	904-442-4521
Fax Number	:	904-442-4521

Authorized Official
Title or Position	:	OWNER
Name	:	STANDREA L TELFAIR
Credential	:	TELFAIR
Telephone Number	:	904-442-4521

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “REGALTRUST LOGISTICS LLC ” Practice Location

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