Provider Demographics
NPI:1902057557
Name:ADVANCED QUALITY TRANSPORTATION SERVICE, INC.
Entity Type:Organization
Organization Name:ADVANCED QUALITY TRANSPORTATION SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-656-0911
Mailing Address - Street 1:PO BOX 4211
Mailing Address - Street 2:
Mailing Address - City:N FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33918-4211
Mailing Address - Country:US
Mailing Address - Phone:239-656-0911
Mailing Address - Fax:239-656-0190
Practice Address - Street 1:4008 WHOLESALE CT
Practice Address - Street 2:
Practice Address - City:N FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-4277
Practice Address - Country:US
Practice Address - Phone:239-656-0911
Practice Address - Fax:239-656-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9502238343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)