MEDICARE: AVAILABLE TRANSPORTATION, 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	344600000X	Taxi

General Provider Information

NPI Number	:	1629602149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVAILABLE TRANSPORTATION, LLC

Provider Business Mailing Address
First Line	:	2121 S HIAWASSEE RD APT 4436
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-8764
Country	:	US
Telephone Number	:	407-360-1868
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 S HIAWASSEE RD APT 4436
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-8764
Country	:	US
Telephone Number	:	407-360-1868
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. ERICA J BAGHRZADEH
Credential	:
Telephone Number	:	941-539-3132

Provider Enumeration Date	:	02/24/2020
Last Update Date	:	02/24/2020

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