Healthcare Provider Details

I. General information

NPI: 1760947741
Provider Name (Legal Business Name): RUSH TRANSPORTATION& TRUCKING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4891 NW 103RD AVE
SUNRISE FL
33351-7986
US

IV. Provider business mailing address

5869 NW CAROVEL AVE
PORT SAINT LUCIE FL
34986-3802
US

V. Phone/Fax

Practice location:
  • Phone: 954-899-8796
  • Fax:
Mailing address:
  • Phone: 954-501-7169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVE PEPE
Title or Position: PRESIDENT
Credential:
Phone: 954-501-7169