Organization Active NPI

Express-Med, LLC

  • Non-emergency Medical Transport (VAN)
  • Gibsonton, FL
National Provider Identifier
1972132082
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EXPRESS-MED, LLC
Practice address
12916 Parkington Dr
Gibsonton, FL 33534-3914
Phone
(813) 850-3494
NPI assigned
Apr 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Sandy Maurell Montero
Title
President
Phone
(813) 850-3494

Specialties & licenses 1

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

Addresses

Primary practice location

12916 Parkington Dr
Gibsonton, FL 33534-3914

Mailing address

3201 W Hillsborough Ave Ste 152772
Tampa, FL 33614-5940
Phone (813) 850-3494

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1972132082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W HILLSBOROUGH AVE STE 152772",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145940",
            "telephone_number": "813-850-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12916 PARKINGTON DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343914",
            "telephone_number": "813-850-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS-MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "MAURELL MONTERO",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-850-3494"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.