Med Transport Services LLC

Primary specialty

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

Legal business name

MED TRANSPORT SERVICES LLC

Practice address

3631 Tarpon Dr
Jacksonville, FL 32277-2447

Phone

(904) 868-0240

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

Jose Raul Corcoba

Title

Owner

Phone

(904) 868-0240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1811461510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 TARPON DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 TARPON DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772447",
            "telephone_number": "904-868-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED TRANSPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "CORCOBA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-868-0240"
    },
    "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 Jacksonville, FL
• Providers in Jacksonville, 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 Jan 15, 2019; 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.