MEDICARE: FUNELAS CARE 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1831903756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUNELAS CARE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	750 CARLYLE AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-4533
Country	:	US
Telephone Number	:	321-557-2198
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 CARLYLE AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-4533
Country	:	US
Telephone Number	:	321-557-2198
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARLO FUNELAS
Credential	:
Telephone Number	:	321-557-2198

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	02/03/2025

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