MEDICARE: CARECABAEE 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)	L14000077377	FL

General Provider Information

NPI Number	:	1932588118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARECABAEE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1089 SILKWOOD AVE
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689
Country	:	US
Telephone Number	:	727-420-0047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1098 SILKWOOD AVE
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-8003
Country	:	US
Telephone Number	:	727-420-0047
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	TRIFU TAMAS
Credential	:
Telephone Number	:	727-420-0047

Provider Enumeration Date	:	05/21/2015
Last Update Date	:	05/21/2015

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