MEDICARE: MM 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)	179572.0000	FL

General Provider Information

NPI Number	:	1780871822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MM TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	4413 N HESPERIDES ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7618
Country	:	US
Telephone Number	:	813-253-8871
Fax Number	:	813-258-3851

Provider Business Practice Location Address
First Line	:	4413 N HESPERIDES ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7618
Country	:	US
Telephone Number	:	813-253-8871
Fax Number	:	813-258-3851

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LOUIS A MINARDI
Credential	:
Telephone Number	:	813-253-8871

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	10/03/2007

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Directions to “MM TRANSPORTATION INC ” Practice Location

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