Healthcare Provider Details
I. General information
NPI: 1265082994
Provider Name (Legal Business Name): ARMOZA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2019
Last Update Date: 09/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
845 NE 179TH TER
NORTH MIAMI BEACH FL
33162-1154
US
IV. Provider business mailing address
845 NE 179TH TER
NORTH MIAMI BEACH FL
33162-1154
US
V. Phone/Fax
- Phone: 347-479-8749
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VIVIAN
ARMOZA
Title or Position: MGR
Credential:
Phone: 347-479-8749