Healthcare Provider Details
I. General information
NPI: 1699425892
Provider Name (Legal Business Name): HEALTHCARE TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2022
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
610 E ZACK ST STE 110
TAMPA FL
33602-3973
US
IV. Provider business mailing address
610 E ZACK ST STE 110
TAMPA FL
33602-3973
US
V. Phone/Fax
- Phone: 813-738-2949
- Fax:
- Phone: 813-738-2949
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VIKTOR
TAMAS
TOROK
Title or Position: MANAGING PARTNER
Credential:
Phone: 813-738-2949