Executive Ride Transport, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

EXECUTIVE RIDE TRANSPORT, INC.

Practice address

12345 Crooked Creek LN
Fort Myers, FL 33913-6726

Phone

(954) 226-7948

Fax

(954) 357-1004

NPI assigned

Nov 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christina Angela Edwrds

Title

President

Phone

(954) 226-7948

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1104299619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NE 41ST ST APT B32",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341338",
            "telephone_number": "954-226-7948",
            "fax_number": "954-357-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 CROOKED CREEK LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136726",
            "telephone_number": "954-226-7948",
            "fax_number": "954-357-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE RIDE TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "EDWRDS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-226-7948"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.