MEDICARE: GLOBAL CARE TRANSPORTATION SERVICES 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	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	851784089	OTHER		NON EMERGENCY TRANSPORTATION

General Provider Information

NPI Number	:	1629639182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL CARE TRANSPORTATION SERVICES LLC

Provider Business Mailing Address
First Line	:	5186 MILLENIA BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6004
Country	:	US
Telephone Number	:	407-470-9201
Fax Number	:

Provider Business Practice Location Address
First Line	:	5186 MILLENIA BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6004
Country	:	US
Telephone Number	:	407-470-9201
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ANA MARIA ORTA
Credential	:
Telephone Number	:	407-470-9201

Provider Enumeration Date	:	06/25/2019
Last Update Date	:	06/25/2019

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