Provider Demographics
NPI:1366200719
Name:PATIENT TRANSPORT OF NAPLES INC
Entity type:Organization
Organization Name:PATIENT TRANSPORT OF NAPLES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAVARE
Authorized Official - Middle Name:D
Authorized Official - Last Name:TAVAR
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:239-692-8309
Mailing Address - Street 1:4990 GOLDEN GATE PKWY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-6962
Mailing Address - Country:US
Mailing Address - Phone:239-692-8309
Mailing Address - Fax:
Practice Address - Street 1:4990 GOLDEN GATE PKWY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-6962
Practice Address - Country:US
Practice Address - Phone:239-692-8309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)