Healthcare Provider Details

I. General information

NPI: 1316815087
Provider Name (Legal Business Name): 247 LUXURY RIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2025
Last Update Date: 10/25/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 NW 8TH ST UNIT 54
MARGATE FL
33063-4581
US

IV. Provider business mailing address

5601 NW 8TH ST UNIT 54
MARGATE FL
33063-4581
US

V. Phone/Fax

Practice location:
  • Phone: 954-300-8782
  • Fax:
Mailing address:
  • Phone:
  • 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: FREDO JEAN
Title or Position: OWNER
Credential:
Phone: 954-300-8782