Provider Demographics
NPI:1104474097
Name:TREASURE COAST TRANSPORTATION SERVICES INC.
Entity type:Organization
Organization Name:TREASURE COAST TRANSPORTATION SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AVA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-252-6556
Mailing Address - Street 1:406 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34947-3362
Mailing Address - Country:US
Mailing Address - Phone:772-252-6556
Mailing Address - Fax:772-252-6568
Practice Address - Street 1:406 N 30TH ST
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34947-3362
Practice Address - Country:US
Practice Address - Phone:772-252-6556
Practice Address - Fax:772-252-6568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)