MEDICARE: DEE TRANSPORTATION,INC DBA DEE TRANSPORTATION

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	:	1801421607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEE TRANSPORTATION,INC DBA DEE TRANSPORTATION

Provider Business Mailing Address
First Line	:	1249 MAPLE DR
Second Line	:
City	:	EGLIN AFB
State	:	FL
Zip	:	32542-1446
Country	:	US
Telephone Number	:	850-814-3998
Fax Number	:

Provider Business Practice Location Address
First Line	:	1249 MAPLE DR
Second Line	:
City	:	EGLIN AFB
State	:	FL
Zip	:	32542-1446
Country	:	US
Telephone Number	:	850-814-3998
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DEREJE A KIFLE
Credential	:
Telephone Number	:	850-814-3998

Provider Enumeration Date	:	03/12/2020
Last Update Date	:	05/06/2020

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