1770658445 NPI number — AT YOUR SERVICE TRANSPORT, INC.

Table of content: DR. CHARLES CHRISTIAN KEY M.D. (NPI 1336398734)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770658445 NPI number — AT YOUR SERVICE TRANSPORT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AT YOUR SERVICE TRANSPORT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770658445
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10001 NW 50TH ST
Provider Second Line Business Mailing Address:
SUITE 203H
Provider Business Mailing Address City Name:
SUNRISE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33351-8061
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-323-4092
Provider Business Mailing Address Fax Number:
954-323-4221

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10001 NW 50TH ST
Provider Second Line Business Practice Location Address:
SUITE 203H
Provider Business Practice Location Address City Name:
SUNRISE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33351-8061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-323-4092
Provider Business Practice Location Address Fax Number:
954-323-4221
Provider Enumeration Date:
11/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PRINGLE
Authorized Official First Name:
MARCIA
Authorized Official Middle Name:
SYLVIAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-632-6374

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  10-75 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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