Tucker Bomb Transport Inc

Primary specialty

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

Legal business name

TUCKER BOMB TRANSPORT INC

Doing business as

Freedom Wheels Transportation

Practice address

11701 Lady Anne Cir
Cape Coral, FL 33991-7504

Phone

(239) 200-7927

Fax

(239) 205-8878

NPI assigned

Dec 27, 2023

Last updated

Dec 27, 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

Miss Christina Marie Brant, NEMT PROVIDER

Title

GM/Shareholder

Phone

(612) 401-6968

Specialties & licenses 1

Addresses

Other names 1

• Freedom Wheels Transportation Doing business as

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1770352163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22364 LARAMORE AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339524506",
            "telephone_number": "612-401-6968",
            "fax_number": "239-205-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 LADY ANNE CIR",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339917504",
            "telephone_number": "239-200-7927",
            "fax_number": "239-205-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER BOMB TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "BRANT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "GM/SHAREHOLDER",
        "authorized_official_telephone_number": "612-401-6968",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NEMT PROVIDER"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Wheels Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisdanay Trujillo Benedico
• Dianelys Trujillo Hernandez
• Alejandro Trujillo Sr., MD
• Marilin Trujillo
• Charles Harry Truluck III, AUD, CCC-A, F-AAA
• Dailyn Tuero Hernandez
• Tukkos Therapy Center Inc
• Steven Tull, RRT
• Anna Tuohy
• Edgar Joseph Turner III, PHARMD

• Non-emergency Medical Transport (VAN) in Cape Coral, FL
• Providers in Cape Coral, 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 Dec 27, 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.