MEDICARE: ES MEDITRANSPORT CORP

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)

General Provider Information

NPI Number	:	1215578018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ES MEDITRANSPORT CORP

Provider Business Mailing Address
First Line	:	13814 5TH ST
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-2119
Country	:	US
Telephone Number	:	239-281-1342
Fax Number	:

Provider Business Practice Location Address
First Line	:	3225 E RIVERSIDE DR APT 65F
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33916-1411
Country	:	US
Telephone Number	:	239-277-0370
Fax Number	:

Authorized Official
Title or Position	:	PRES
Name	:	JAMES SULLIVAN
Credential	:
Telephone Number	:	239-770-3704

Provider Enumeration Date	:	10/02/2019
Last Update Date	:	07/21/2022

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Directions to “ES MEDITRANSPORT CORP ” Practice Location

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