Healthcare Provider Details

I. General information

NPI: 1568387470
Provider Name (Legal Business Name): EAST COAST MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 S OCEAN BLVD APT 10D
BOCA RATON FL
33432-7664
US

IV. Provider business mailing address

330 SW 2ND AVE APT 10
HALLANDALE BEACH FL
33009-6341
US

V. Phone/Fax

Practice location:
  • Phone: 561-541-3818
  • Fax:
Mailing address:
  • Phone: 908-625-6059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ERIK OLSEN
Title or Position: OWNER
Credential:
Phone: 908-625-6059