Healthcare Provider Details

I. General information

NPI: 1447926746
Provider Name (Legal Business Name): KARKAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 SW 135TH AVE
MIAMI FL
33184-1008
US

IV. Provider business mailing address

320 SW 135TH AVE
MIAMI FL
33184-1008
US

V. Phone/Fax

Practice location:
  • Phone: 786-351-4367
  • Fax:
Mailing address:
  • Phone: 786-351-4367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: ODILYS GONZALEZ
Title or Position: MANAGER
Credential:
Phone: 786-351-4367