Angels Medical Transportation Service LLC

Primary specialty

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

Legal business name

ANGELS MEDICAL TRANSPORTATION SERVICE LLC

Doing business as

Angels Medical Transportation

Practice address

16295 Palacky St
Brooksville, FL 34604-7821

Phone

(352) 797-2336

NPI assigned

May 8, 2023

Last updated

Jun 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brent Ciro Clark

Title

Manager

Phone

(352) 254-0159

Specialties & licenses 1

Addresses

Other names 1

• Angels Medical Transportation Doing business as

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1699464396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16295 PALACKY ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346047821",
            "telephone_number": "352-797-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16295 PALACKY ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346047821",
            "telephone_number": "352-797-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS MEDICAL TRANSPORTATION SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "CIRO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-254-0159",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Angels Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Brooksville, FL
• Providers in Brooksville, 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 Jun 19, 2023; 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.