MEDICARE: AJ MEDICAL TRANSPORT SERVICES 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	:	1720938921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJ MEDICAL TRANSPORT SERVICES LLC

Provider Business Mailing Address
First Line	:	15810 FENTON PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-1651
Country	:	US
Telephone Number	:	813-900-6171
Fax Number	:

Provider Business Practice Location Address
First Line	:	15810 FENTON PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-1651
Country	:	US
Telephone Number	:	813-900-6171
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSE MANUEL SANABRIA
Credential	:
Telephone Number	:	813-900-6171

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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