MEDICARE: ZAFTIG EXPRESS 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	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1316500960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZAFTIG EXPRESS LLC

Provider Business Mailing Address
First Line	:	7909 POINT HOLLOW DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-1675
Country	:	US
Telephone Number	:	804-591-8097
Fax Number	:

Provider Business Practice Location Address
First Line	:	7909 POINT HOLLOW DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-1675
Country	:	US
Telephone Number	:	804-591-8097
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	TONYA MARIE BURTON
Credential	:
Telephone Number	:	804-212-8341

Provider Enumeration Date	:	04/18/2019
Last Update Date	:	04/18/2019

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Directions to “ZAFTIG EXPRESS LLC ” Practice Location

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