MEDICARE: READY2GO MEDICAL TRANSPORTATION

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	:	1164706867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	READY2GO MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	590 NW 114TH AVE
Second Line	:	APT 104
City	:	MIAMI
State	:	FL
Zip	:	33172-4706
Country	:	US
Telephone Number	:	786-970-5895
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 NW 114TH AVE
Second Line	:	APT 104
City	:	MIAMI
State	:	FL
Zip	:	33172-4706
Country	:	US
Telephone Number	:	786-970-5895
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JANY UDRIA
Credential	:	PROFESSIONAL
Telephone Number	:	786-970-5895

Provider Enumeration Date	:	09/29/2011
Last Update Date	:	09/29/2011

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Directions to “READY2GO MEDICAL TRANSPORTATION ” Practice Location

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