Healthcare Provider Details

I. General information

NPI: 1982103743
Provider Name (Legal Business Name): PERCEIVE TRANSIT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2018
Last Update Date: 02/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 NW 11TH ST
OKEECHOBEE FL
34972-2052
US

IV. Provider business mailing address

927 NW 11TH ST
OKEECHOBEE FL
34972-2052
US

V. Phone/Fax

Practice location:
  • Phone: 561-463-9939
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberM645817855150
License Number StateFL

VIII. Authorized Official

Name: TIFFANY MORELAND
Title or Position: TREASURER
Credential:
Phone: 561-463-9939