Organization Active NPI

Iron Eagle Holdings LLC

  • Non-emergency Medical Transport (VAN)
  • Saint Petersburg, FL
National Provider Identifier
1922764562
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
IRON EAGLE HOLDINGS LLC
Practice address
2201 12TH St S
Saint Petersburg, FL 33705-2909
Phone
(727) 821-0309
NPI assigned
Nov 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Mr. Corrie C Byrd III
Title
Ceo/President
Phone
(727) 773-7658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2201 12TH St S
Saint Petersburg, FL 33705-2909

Mailing address

2201 12TH St S
Saint Petersburg, FL 33705-2909
Phone (727) 821-0309

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1922764562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 12TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337052909",
            "telephone_number": "727-821-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 12TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337052909",
            "telephone_number": "727-821-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON EAGLE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "CORRIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "727-773-7658",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.