Healthcare Provider Details

I. General information

NPI: 1679347900
Provider Name (Legal Business Name): SAFE TRAVEL SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2023
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10503 BASTILLE LN APT 207
ORLANDO FL
32836-4601
US

IV. Provider business mailing address

10503 BASTILLE LN APT 207
ORLANDO FL
32836-4601
US

V. Phone/Fax

Practice location:
  • Phone: 832-707-6406
  • Fax:
Mailing address:
  • Phone: 832-707-6406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: HECTOR HERRERA
Title or Position: AR
Credential:
Phone: 832-707-6406