Healthcare Provider Details

I. General information

NPI: 1982908802
Provider Name (Legal Business Name): DEMARCO TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2011
Last Update Date: 01/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 SW 37TH AVE APT 409
COCONUT GROVE FL
33133-2755
US

IV. Provider business mailing address

2660 SW 37TH AVE APT 409
COCONUT GROVE FL
33133-2755
US

V. Phone/Fax

Practice location:
  • Phone: 305-742-8887
  • Fax: 786-953-7669
Mailing address:
  • Phone: 305-742-8887
  • Fax: 786-953-7669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number30300
License Number StateFL

VIII. Authorized Official

Name: MARCO GARCIA
Title or Position: PRESIDENT
Credential:
Phone: 305-742-8887