Healthcare Provider Details

I. General information

NPI: 1164915765
Provider Name (Legal Business Name): TRUSTED LIMOUSINE AND TAXI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2018
Last Update Date: 06/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7530 GALVESTON AVE
JACKSONVILLE FL
32211-7825
US

IV. Provider business mailing address

7530 GALVESTON AVE
JACKSONVILLE FL
32211-7825
US

V. Phone/Fax

Practice location:
  • Phone: 904-535-2736
  • Fax: 815-407-8834
Mailing address:
  • Phone: 904-535-2736
  • Fax: 815-407-8834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License NumberM460463541440
License Number StateFL

VIII. Authorized Official

Name: MR. JOHN CHRISTOPHER MILLER
Title or Position: PRESIDENT
Credential:
Phone: 904-535-2736