Healthcare Provider Details

I. General information

NPI: 1184504383
Provider Name (Legal Business Name): 4HEARTS MEDICAL TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5920 CARIBBEAN BLVD
WEST PALM BEACH FL
33407-1804
US

IV. Provider business mailing address

5920 CARIBBEAN BLVD
WEST PALM BEACH FL
33407-1804
US

V. Phone/Fax

Practice location:
  • Phone: 561-254-3019
  • Fax:
Mailing address:
  • Phone: 561-254-3019
  • 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: WANDA BAKER
Title or Position: OWNER
Credential:
Phone: 561-254-3019