MEDICARE: WHEELCHAIR TRANSPORT IN FLORIDA

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	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1982300802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHEELCHAIR TRANSPORT IN FLORIDA

Provider Business Mailing Address
First Line	:	1902 W MAIN ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-4322
Country	:	US
Telephone Number	:	833-216-4555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1902 W MAIN ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-4322
Country	:	US
Telephone Number	:	833-216-4555
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MARQUS JOHNSON
Credential	:
Telephone Number	:	813-585-2486

Provider Enumeration Date	:	02/02/2023
Last Update Date	:	02/02/2023

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Directions to “WHEELCHAIR TRANSPORT IN FLORIDA ” Practice Location

Language	Start Address	Practice Location

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