Provider Demographics
NPI:1972162253
Name:LUXEXPRESS LLC
Entity type:Organization
Organization Name:LUXEXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-403-3760
Mailing Address - Street 1:200 KNUTH RD STE 222
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-4636
Mailing Address - Country:US
Mailing Address - Phone:561-403-3760
Mailing Address - Fax:561-412-0091
Practice Address - Street 1:200 KNUTH RD STE 222
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4636
Practice Address - Country:US
Practice Address - Phone:561-403-3760
Practice Address - Fax:561-412-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)