Organization Name: | 4040I.COM INC |
NPI Number: | 1184917577 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE M GONZALEZ (CEO) |
Mailing Address: | 10524 Moss Park Rd Suite 204-640 Orlando |
State: | FL US |
Postal Code: | 328325898 |
Phone Number: | 8888809626 |
Fax Number: | 6307230077 |
NPI Enumeration Date: | 05/18/2011 |
NPI Last Update Date: | 05/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | G524420730431 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |