Broadvision Servcies LLC

Primary specialty

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

Legal business name

BROADVISION SERVCIES LLC

Doing business as

ApexCare Transport

Practice address

1665 SW Alvaton Ave
Port St Lucie, FL 34953-4737

Phone

(772) 419-9118

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Odarie Berry

Title

Co-Owner

Phone

(772) 419-9118

Specialties & licenses 1

Addresses

Other names 1

• ApexCare Transport Doing business as

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1619735362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 SW ALVATON AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534737",
            "telephone_number": "772-419-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 SW ALVATON AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534737",
            "telephone_number": "772-419-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADVISION SERVCIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ODARIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "772-419-9118"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ApexCare Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Ann Brisbin, APRN
• Abigail Lyn Briscoe
• Toni Lynn Britnell, LMT
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• Non-emergency Medical Transport (VAN) in Port St Lucie, FL
• Providers in Port St Lucie, 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 Mar 7, 2024; 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.