Provider Demographics
NPI:1679318216
Name:SEMPUL HOLDINGS INC
Entity type:Organization
Organization Name:SEMPUL HOLDINGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-222-1276
Mailing Address - Street 1:5503 ENTERTAINMENT WAY
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34947-5474
Mailing Address - Country:US
Mailing Address - Phone:321-222-1276
Mailing Address - Fax:772-252-6568
Practice Address - Street 1:531 S US HIGHWAY 1 UNIT A-2
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-8317
Practice Address - Country:US
Practice Address - Phone:321-222-1276
Practice Address - Fax:772-252-6568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)