Healthcare Provider Details

I. General information

NPI: 1891142444
Provider Name (Legal Business Name): TRANS 4 MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2016
Last Update Date: 05/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 APOLLO BEACH BLVD
APOLLO BEACH FL
33572-2281
US

IV. Provider business mailing address

PO BOX 645
EMMAUS PA
18049-0645
US

V. Phone/Fax

Practice location:
  • Phone: 484-538-6464
  • Fax: 877-722-4005
Mailing address:
  • Phone: 484-538-6464
  • Fax: 877-722-4005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. PETER J. MACCARI
Title or Position: COO
Credential:
Phone: 484-538-6464