Healthcare Provider Details

I. General information

NPI: 1992616999
Provider Name (Legal Business Name): RBL MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 NW 4TH PL
LAUDERHILL FL
33311-8423
US

IV. Provider business mailing address

3201 NW 4TH PL
LAUDERHILL FL
33311-8423
US

V. Phone/Fax

Practice location:
  • Phone: 786-354-1102
  • Fax:
Mailing address:
  • Phone: 800-467-2508
  • 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: MR. ROBERT BRYANT LEATH
Title or Position: ONWER
Credential:
Phone: 786-354-1102