MEDICARE: A PLUS NEMT FLORIDA, 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)		FL

General Provider Information

NPI Number	:	1841696770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS NEMT FLORIDA, LLC

Provider Business Mailing Address
First Line	:	3714 E ELLICOTT ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-6636
Country	:	US
Telephone Number	:	904-404-6133
Fax Number	:	813-200-2008

Provider Business Practice Location Address
First Line	:	2422 E EMMA ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-6232
Country	:	US
Telephone Number	:	904-404-6133
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MARQUS JOHNSON
Credential	:
Telephone Number	:	904-404-6133

Provider Enumeration Date	:	11/04/2014
Last Update Date	:	11/04/2014

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