Provider Demographics
NPI:1427689082
Name:MED FAMILY CARE TRANSPORT CORP
Entity type:Organization
Organization Name:MED FAMILY CARE TRANSPORT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUNISLEYFID
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-927-0008
Mailing Address - Street 1:7245 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-7653
Mailing Address - Country:US
Mailing Address - Phone:305-927-0008
Mailing Address - Fax:904-367-2187
Practice Address - Street 1:7245 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-7653
Practice Address - Country:US
Practice Address - Phone:305-927-0008
Practice Address - Fax:904-367-2187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1991Medicaid
FL1008Medicaid