4040I.Com Inc

Primary specialty

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

License

G524420730431 Issued in FL

Legal business name

4040I.COM INC

Doing business as

4040i Pro Health

Practice address

10524 Moss Park Rd
Suite 204-640
Orlando, FL 32832-5898

Phone

(888) 880-9626

Fax

(630) 723-0077

NPI assigned

May 18, 2011

Last updated

May 18, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

4040I.COM INCAs reported in NPPES

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

Authorized official

Name

Mr. Jose M Gonzalez

Title

Ceo

Phone

(888) 880-9626

Specialties & licenses 1

Addresses

Other names 1

• 4040i Pro Health Doing business as

Tax ID family

4040Icom Inc2 organizations share this tax ID, including this one

Part of

4040Icom Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 4040I.Com Inc

  • Driver
  • Tampa, FL
  • NPI 1295028686
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• 4040I.Com Inc

  • Driver
  • Tampa, FL
  • NPI 1295028686
  NPPES parent name

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1184917577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 MOSS PARK RD",
            "address_2": "SUITE 204-640",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325898",
            "telephone_number": "888-880-9626",
            "fax_number": "630-723-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 MOSS PARK RD",
            "address_2": "SUITE 204-640",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325898",
            "telephone_number": "888-880-9626",
            "fax_number": "630-723-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4040I.COM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "4040I.COM INC",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-880-9626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "G524420730431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4040i Pro Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Orlando, FL
• Providers in Orlando, 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 May 18, 2011; 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.