Healthcare Provider Details

I. General information

NPI: 1538563630
Provider Name (Legal Business Name): A-PLUS NEMT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 10/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 E CAYUGA ST
TAMPA FL
33610-6219
US

IV. Provider business mailing address

2222 E CAYUGA ST
TAMPA FL
33610-6219
US

V. Phone/Fax

Practice location:
  • Phone: 904-404-6133
  • 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

VIII. Authorized Official

Name: SANATERA ISSAC
Title or Position: MANAGING PARTNER
Credential:
Phone: 904-404-6133