Provider Demographics
NPI:1154138923
Name:SECURE RIDE SOLUTIONS
Entity type:Organization
Organization Name:SECURE RIDE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCORZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-630-5885
Mailing Address - Street 1:3075 KYNESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COTTONDALE
Mailing Address - State:FL
Mailing Address - Zip Code:32431-7523
Mailing Address - Country:US
Mailing Address - Phone:850-630-5885
Mailing Address - Fax:
Practice Address - Street 1:3075 KYNESVILLE RD
Practice Address - Street 2:
Practice Address - City:COTTONDALE
Practice Address - State:FL
Practice Address - Zip Code:32431-7523
Practice Address - Country:US
Practice Address - Phone:850-630-5885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)