MEDICARE: HENRY & ED 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	:	1588493001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY & ED TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	7481 W OAKLAND PARK BLVD STE 302G
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-4961
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7481 W OAKLAND PARK BLVD STE 302G
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-4961
Country	:	US
Telephone Number	:	954-461-1444
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WINNIFRED CHRISTIE
Credential	:
Telephone Number	:	954-461-1444

Provider Enumeration Date	:	08/01/2024
Last Update Date	:	08/01/2024

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