Healthcare Provider Details

I. General information

NPI: 1205486149
Provider Name (Legal Business Name): TA&A NON EMERGENCY MEDICAL TRANSPORTATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2019
Last Update Date: 09/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

882 30TH AVE S
ST PETERSBURG FL
33705-3634
US

IV. Provider business mailing address

882 30TH AVE S
ST PETERSBURG FL
33705-3634
US

V. Phone/Fax

Practice location:
  • Phone: 727-768-1883
  • Fax:
Mailing address:
  • Phone: 727-768-1883
  • 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: ASHLEY HARRIS
Title or Position: CEO
Credential:
Phone: 727-768-1883