MEDICARE: IN TRANSITION TRANSPORT INC

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	343800000X	Secured Medical Transport (VAN)
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1083425680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN TRANSITION TRANSPORT INC

Provider Business Mailing Address
First Line	:	1789 CANOVA ST SE STE B
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-4207
Country	:	US
Telephone Number	:	321-272-8821
Fax Number	:

Provider Business Practice Location Address
First Line	:	1789 CANOVA ST SE STE B
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-4207
Country	:	US
Telephone Number	:	321-272-8821
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANAEVA VAZQUEZ FIGUEROA
Credential	:
Telephone Number	:	321-272-8821

Provider Enumeration Date	:	01/14/2025
Last Update Date	:	09/09/2025

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