Provider Demographics
NPI:1548809585
Name:ELITE TRANSPORT CLUB LLC.
Entity type:Organization
Organization Name:ELITE TRANSPORT CLUB LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEURJUSTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-876-6896
Mailing Address - Street 1:13521 NE MIAMI CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-2738
Mailing Address - Country:US
Mailing Address - Phone:888-876-6896
Mailing Address - Fax:
Practice Address - Street 1:13521 NE MIAMI CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-2738
Practice Address - Country:US
Practice Address - Phone:888-876-6896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-21
Last Update Date:2019-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)