Healthcare Provider Details

I. General information

NPI: 1083869465
Provider Name (Legal Business Name): TLC TRANSPORTATIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2008
Last Update Date: 11/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 W BAY DR 209
BELLEAIR BLUFFS FL
33770-2620
US

IV. Provider business mailing address

2840 W BAY DR 209
BELLEAIR BLUFFS FL
33770-2620
US

V. Phone/Fax

Practice location:
  • Phone: 727-409-0173
  • Fax: 727-363-3486
Mailing address:
  • Phone: 727-409-0173
  • Fax: 727-363-3486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberP01000067902
License Number StateFL

VIII. Authorized Official

Name: MR. MARK BOTTEY
Title or Position: OWNER
Credential:
Phone: 727-409-0173