MEDICARE: RAYMONDS HEALTH CARE TRANSPORTATION SERVICES, 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	:	1760080683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAYMONDS HEALTH CARE TRANSPORTATION SERVICES, INC

Provider Business Mailing Address
First Line	:	2624 E CHELSEA ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-7743
Country	:	US
Telephone Number	:	813-817-3551
Fax Number	:	813-415-2636

Provider Business Practice Location Address
First Line	:	2624 E CHELSEA ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-7743
Country	:	US
Telephone Number	:	813-817-3551
Fax Number	:	813-415-2636

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NECIA RAYMOND
Credential	:
Telephone Number	:	813-817-3551

Provider Enumeration Date	:	10/13/2020
Last Update Date	:	10/13/2020

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