Healthcare Provider Details

I. General information

NPI: 1235033598
Provider Name (Legal Business Name): EASE-Z TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9212 ANDERSON RD
TAMPA FL
33634-1297
US

IV. Provider business mailing address

2780 E FOWLER AVE # 567
TAMPA FL
33612-6297
US

V. Phone/Fax

Practice location:
  • Phone: 727-598-1423
  • 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 StateNULL

VIII. Authorized Official

Name: IBRAHIM ODEH
Title or Position: MANAGER
Credential:
Phone: 727-598-1423