Promedical Transportation, LLC

Primary specialty

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

Legal business name

PROMEDICAL TRANSPORTATION, LLC

Practice address

4578 Brandy Oak CT
Jacksonville, FL 32257-8818

Phone

(904) 314-9859

Fax

(904) 325-7018

NPI assigned

Apr 19, 2019

Organization subpart

No

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

Authorized official

Name

Lissette TaverasNPI 1306409164

Title

Owner

Phone

(904) 314-9859

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lissette Taveras

  • Non-emergency Medical Transport (VAN)
  • Jacksonville, FL
  • NPI 1306409164
  NPD (past) Authorized official

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1982267480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4578 BRANDY OAK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578818",
            "telephone_number": "787-697-9339",
            "fax_number": "904-325-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 BRANDY OAK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578818",
            "telephone_number": "904-314-9859",
            "fax_number": "904-325-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "TAVERAS",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-314-9859"
    },
    "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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• Jody Kristin Propst, PMHNP-BC
• Joshua Propst, PA

• 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 Apr 19, 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.