Isla Azul Senior Transport Corp

LBN: Isla Azul Senior Transport Corp
Isla Azul Senior Transport Corp is an health care organization with primary practice located at 1037 Ne Pine Island Ln , Cape Coral FL 33909-2176. The organization recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as the primary health care specialty. Isla Azul Senior Transport Corp can be contacted via phone (305) 680-6865, or through Gonzalez, Guillermo via phone (305) 680-6865.

Contact Information

Primary practice address
1037 Ne Pine Island Ln Cape Coral FL 33909-2176
Phone: (305) 680-6865
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Guillermo CORP
Phone: (305) 680-6865

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1720690662
LBN Legal business name Isla Azul Senior Transport Corp
DBA Doing business as
Authorized official Gonzalez, Guillermo CORP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2020
Last updated Aug 21st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720690662 NPPES
Florida MEDICAID 1780293068

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