Provider Demographics
NPI:1689336885
Name:MEDI-TRANS, INC.
Entity type:Organization
Organization Name:MEDI-TRANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VP OF BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-316-8729
Mailing Address - Street 1:1350 S POWERLINE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-4330
Mailing Address - Country:US
Mailing Address - Phone:954-343-1576
Mailing Address - Fax:
Practice Address - Street 1:1350 S POWERLINE RD STE 200
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4330
Practice Address - Country:US
Practice Address - Phone:954-343-1576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDI-TRANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker