Provider Demographics
NPI:1417444761
Name:PRIORITYCARE TRANSIT LLC
Entity type:Organization
Organization Name:PRIORITYCARE TRANSIT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:ANDRI
Authorized Official - Last Name:COVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-588-2475
Mailing Address - Street 1:3343 PORT ROYALE DR S APT 101
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-7933
Mailing Address - Country:US
Mailing Address - Phone:954-588-2475
Mailing Address - Fax:888-874-7457
Practice Address - Street 1:106 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-5321
Practice Address - Country:US
Practice Address - Phone:954-588-2475
Practice Address - Fax:888-874-7457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-21
Last Update Date:2018-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10-148343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)