MEDICARE: 2FFA TRANS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1013743483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2FFA TRANS LLC

Provider Business Mailing Address
First Line	:	5722 N BLACK CANYON HWY APT 26
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85017-2113
Country	:	US
Telephone Number	:	602-503-1175
Fax Number	:	602-603-2595

Provider Business Practice Location Address
First Line	:	5722 N BLACK CANYON HWY APT 26
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85017-2113
Country	:	US
Telephone Number	:	602-503-1175
Fax Number	:	602-603-2595

Authorized Official
Title or Position	:	OWNER
Name	:	KAMAL ABDO TUFFA
Credential	:
Telephone Number	:	602-503-1175

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	09/11/2024

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Directions to “2FFA TRANS LLC ” Practice Location

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