MEDICARE: PARADISE EXPRESS TRANSPORTATION 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1184562746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARADISE EXPRESS TRANSPORTATION INC.

Provider Business Mailing Address
First Line	:	5700 LAKE WORTH RD STE 201-B
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 LAKE WORTH RD STE 201-B
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3204
Country	:	US
Telephone Number	:	561-232-8298
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	RODNEY PENA
Credential	:
Telephone Number	:	561-232-9527

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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