Provider Demographics
NPI:1194253013
Name:AABAC TAXI INC
Entity type:Organization
Organization Name:AABAC TAXI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BURRUCHAGA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEL-AIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-588-6311
Mailing Address - Street 1:PO BOX 951
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32067-0951
Mailing Address - Country:US
Mailing Address - Phone:786-539-6372
Mailing Address - Fax:
Practice Address - Street 1:369 BLANDING BLVD STE N24
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4394
Practice Address - Country:US
Practice Address - Phone:904-588-6311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)