MEDICARE: CLASSIC TRANSPORTERS 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	:	1841686854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLASSIC TRANSPORTERS INC

Provider Business Mailing Address
First Line	:	233 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-2947
Country	:	US
Telephone Number	:	813-886-8985
Fax Number	:

Provider Business Practice Location Address
First Line	:	233 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-2947
Country	:	US
Telephone Number	:	813-886-8985
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JUAN ENRIQUE PEREZ
Credential	:
Telephone Number	:	813-299-6322

Provider Enumeration Date	:	04/07/2015
Last Update Date	:	04/07/2015

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Directions to “CLASSIC TRANSPORTERS INC ” Practice Location

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