Provider Demographics
NPI:1861771834
Name:MONCUR MEDICAL TRANSPORTATION INC.
Entity type:Organization
Organization Name:MONCUR MEDICAL TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CORETTA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ARMBRISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-448-8537
Mailing Address - Street 1:402 SW 2ND ST
Mailing Address - Street 2:23
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-3258
Mailing Address - Country:US
Mailing Address - Phone:954-448-8537
Mailing Address - Fax:754-227-7094
Practice Address - Street 1:1710 NW 1ST TER
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-5212
Practice Address - Country:US
Practice Address - Phone:954-448-8537
Practice Address - Fax:754-227-7094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA651117788100343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)