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NPI Code Detail

MEDICARE: DRIVEME LLC

MEDICARE: DRIVEME 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1366258568
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRIVEME LLC
Provider Business Mailing Address
First Line : 18612 N 4TH DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-5670
Country : US
Telephone Number : 480-910-6805
Fax Number :
Provider Business Practice Location Address
First Line : 3101 N CENTRAL AVE STE 158
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-3604
Country : US
Telephone Number : 602-301-3082
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MUSTAFA AGIL
Credential :
Telephone Number : 602-301-3082
Provider Enumeration Date : 12/04/2024
Last Update Date : 12/04/2024

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Directions to “DRIVEME LLC ” Practice Location

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