Healthcare Provider Details

I. General information

NPI: 1689506578
Provider Name (Legal Business Name): COASTALCARE TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2138 VAN BUREN ST APT 601
HOLLYWOOD FL
33020-7339
US

IV. Provider business mailing address

2138 VAN BUREN ST APT 601
HOLLYWOOD FL
33020-7339
US

V. Phone/Fax

Practice location:
  • Phone: 267-475-8528
  • Fax:
Mailing address:
  • Phone: 267-475-8528
  • 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: MUSHEGH ANDREASYAN
Title or Position: CEO
Credential:
Phone: 267-475-8528