Provider Demographics
NPI:1730255654
Name:KAM'S WHEELCHAIR SERVICE INC
Entity type:Organization
Organization Name:KAM'S WHEELCHAIR SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SUDU
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPORTATION
Authorized Official - Phone:954-628-5177
Mailing Address - Street 1:3500 N STATE RD 7
Mailing Address - Street 2:SUITE 125
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319
Mailing Address - Country:US
Mailing Address - Phone:954-628-5177
Mailing Address - Fax:954-628-5177
Practice Address - Street 1:6363 TAFF ST
Practice Address - Street 2:SUITE 102
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-5962
Practice Address - Country:US
Practice Address - Phone:954-628-5177
Practice Address - Fax:954-535-7633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10-76343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)