MEDICARE: TRANSCARE MEDICAL 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	341600000X	Ambulance

General Provider Information

NPI Number	:	1750941563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSCARE MEDICAL LLC

Provider Business Mailing Address
First Line	:	7304 LAKE STERLING BLVD
Second Line	:
City	:	FLOWERY BRANCH
State	:	GA
Zip	:	30542-5010
Country	:	US
Telephone Number	:	770-866-3637
Fax Number	:	678-940-8909

Provider Business Practice Location Address
First Line	:	13302 WINDING OAK CT STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3425
Country	:	US
Telephone Number	:	239-202-2133
Fax Number	:	678-940-8909

Authorized Official
Title or Position	:	CEO
Name	:	ANTHONY ACCORSI
Credential	:
Telephone Number	:	770-866-3637

Provider Enumeration Date	:	06/14/2019
Last Update Date	:	06/14/2019

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