Healthcare Provider Details

I. General information

NPI: 1144095787
Provider Name (Legal Business Name): HEARTS OF SUNCOAST TRANSPORT & LOGISTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2023
Last Update Date: 11/22/2023
Certification Date: 11/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6457 MIDNIGHT PASS RD #3099
SIESTA KEY FL
34242
US

IV. Provider business mailing address

6457 MIDNIGHT PASS RD #3099
SIESTA KEY FL
34242
US

V. Phone/Fax

Practice location:
  • Phone: 941-280-1588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY BUTLER
Title or Position: CEO
Credential:
Phone: 941-280-1588