=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811876758
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADVANCED PEDIATRIC CARE TRANSPORT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/27/2025
-----------------------------------------------------
Last Update Date | 08/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8197 N UNIVERSITY DR STE 5
-----------------------------------------------------
City | TAMARAC
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33321-1743
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-366-1990
-----------------------------------------------------
Fax | 954-208-7431
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8197 N UNIVERSITY DR STE 5
-----------------------------------------------------
City | TAMARAC
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33321-1743
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-366-1990
-----------------------------------------------------
Fax | 954-208-7431
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JESSIKA MAGRINAT
-----------------------------------------------------
Credential | BSN, RN
-----------------------------------------------------
Telephone | 786-468-4003
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 342000000X
-----------------------------------------------------
Taxonomy Name | Transportation Network Company
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------