Healthcare Provider Details

I. General information

NPI: 1477197697
Provider Name (Legal Business Name): PRIORITY CARE TRANSPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2019
Last Update Date: 10/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6002 WOOD WIND PL
SAINT CLOUD FL
34772-7842
US

IV. Provider business mailing address

6002 WOOD WIND PL
SAINT CLOUD FL
34772-7842
US

V. Phone/Fax

Practice location:
  • Phone: 407-334-2266
  • Fax:
Mailing address:
  • Phone: 407-334-2266
  • 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: KARINA MORELLI
Title or Position: GENERAL MANAGER
Credential:
Phone: 321-805-0902