Healthcare Provider Details

I. General information

NPI: 1407677859
Provider Name (Legal Business Name): A1 PLUS MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2024
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1373 LATTIMORE DR
CLERMONT FL
34711-9042
US

IV. Provider business mailing address

137 WILLIAMSON DR
DAVENPORT FL
33897-6255
US

V. Phone/Fax

Practice location:
  • Phone: 321-230-7391
  • Fax:
Mailing address:
  • Phone: 321-230-7391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: BEE ELESHO
Title or Position: MANAGER
Credential:
Phone: 321-230-7391