MEDICARE: GO ALL IN MEDICAL

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	:	1366260572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GO ALL IN MEDICAL

Provider Business Mailing Address
First Line	:	7760 COVEDALE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-4742
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7760 COVEDALE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-4742
Country	:	US
Telephone Number	:	407-233-8918
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. QUANTELL M SIMPKINS
Credential	:
Telephone Number	:	407-233-8918

Provider Enumeration Date	:	09/27/2024
Last Update Date	:	09/27/2024

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Directions to “GO ALL IN MEDICAL ” Practice Location

Language	Start Address	Practice Location

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