=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558847319
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PC RIDE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2018
-----------------------------------------------------
Last Update Date | 01/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 37640 SR 54
-----------------------------------------------------
City | ZEPHYRHILLS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33542-5424
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-355-4821
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6215 ABBOTT STATION DR STE 101
-----------------------------------------------------
City | ZEPHYRHILLS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33542-4824
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-355-4821
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | PARVEEN KUMAR GAHLAWAT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 727-300-6565
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------