Healthcare Provider Details

I. General information

NPI: 1649175670
Provider Name (Legal Business Name): TREDE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 EDGEWOOD AVE W
JACKSONVILLE FL
32208-3414
US

IV. Provider business mailing address

520 ASH ST
ORANGE PARK FL
32073-2906
US

V. Phone/Fax

Practice location:
  • Phone: 904-864-8737
  • Fax:
Mailing address:
  • Phone: 904-864-8737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. CHARLES E TOBLER JR.
Title or Position: OWNER
Credential: COO
Phone: 904-864-8737