Healthcare Provider Details

I. General information

NPI: 1699315887
Provider Name (Legal Business Name): KIR ADVANCE MEDICAL TRANSPORTATION.INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5522 GRANADA BLVD
SEBRING FL
33872-2327
US

IV. Provider business mailing address

5522 GRANADA BLVD
SEBRING FL
33872-2327
US

V. Phone/Fax

Practice location:
  • Phone: 305-987-2700
  • Fax: 863-451-5318
Mailing address:
  • Phone: 305-987-2700
  • Fax: 863-451-5318

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: KATIUSKA IZQUIERDO REYES
Title or Position: OWNER
Credential:
Phone: 305-987-2700