Healthcare Provider Details

I. General information

NPI: 1285430538
Provider Name (Legal Business Name): CARE CAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 E OSBORNE AVE
TAMPA FL
33610-6540
US

IV. Provider business mailing address

3610 E OSBORNE AVE
TAMPA FL
33610-6540
US

V. Phone/Fax

Practice location:
  • Phone: 850-803-3520
  • Fax:
Mailing address:
  • Phone: 850-803-3520
  • 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: JUAN SEBASTIAN OSORIO-MCKENNA
Title or Position: OWNER/OPERATOR
Credential:
Phone: 850-803-3520