Elite-Star Medical Transport LLC.

Primary specialty

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

Legal business name

ELITE-STAR MEDICAL TRANSPORT LLC.

Practice address

2910 W Lake Mary Blvd Ste 101
Lake Mary, FL 32746

Phone

(407) 917-4548

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Alimohamed Manji

Title

Chief Operations Officer

Phone

(407) 927-1564

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533340800000",
    "number": "1881171072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 W LAKE MARY BLVD STE 101",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463498",
            "telephone_number": "407-927-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 W LAKE MARY BLVD STE 101",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-917-4548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 W. Lake Mary Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "32746",
            "country_code": "US",
            "telephone_number": "407-927-1492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 W. Lake Mary Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "32746",
            "country_code": "US",
            "telephone_number": "407-927-1492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE-STAR MEDICAL TRANSPORT LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-08-04",
        "status": "A",
        "authorized_official_last_name": "MANJI",
        "authorized_official_first_name": "ALIMOHAMED",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "407-927-1564",
        "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": []
}

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• Non-emergency Medical Transport (VAN) in Lake Mary, FL
• Providers in Lake Mary, 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 Aug 4, 2018; 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.