MEDICARE: SOUTHEAST EXPRESS TRANSPORTATION LTD

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	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1992569123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHEAST EXPRESS TRANSPORTATION LTD

Provider Business Mailing Address
First Line	:	2701 W BUSCH BLVD STE 203
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-4578
Country	:	US
Telephone Number	:	813-999-5810
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 W BUSCH BLVD STE 203
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-4578
Country	:	US
Telephone Number	:	813-999-5810
Fax Number	:	708-575-5453

Authorized Official
Title or Position	:	OWNER
Name	:	MOHAMMED HAMDAN
Credential	:
Telephone Number	:	813-999-5810

Provider Enumeration Date	:	02/08/2024
Last Update Date	:	02/08/2024

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Directions to “SOUTHEAST EXPRESS TRANSPORTATION LTD ” Practice Location

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