Healthcare Provider Details

I. General information

NPI: 1649014259
Provider Name (Legal Business Name): EMPIRE NEMT OF SOUTH FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 BELVEDERE RD # 500
WEST PALM BEACH FL
33406-1501
US

IV. Provider business mailing address

1501 BELVEDERE RD # 500
WEST PALM BEACH FL
33406-1501
US

V. Phone/Fax

Practice location:
  • Phone: 561-970-0394
  • Fax: 888-519-5510
Mailing address:
  • Phone:
  • Fax: 888-519-5510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MS. ANNETTE CAMPBELL
Title or Position: OWNER
Credential:
Phone: 561-847-5565