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XEN MEDICAL TRANSPORT CORP

Company Details

Entity Name: XEN MEDICAL TRANSPORT CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Jul 2024 (7 months ago)
Document Number: P24000047584
FEI/EIN Number 994019739
Address: 14922 SW 173 TERRACE, MIAMI, FL, 33187, US
Mail Address: 14922 SW 173RD TERRACE, MIAMI, FL, 33187, US
ZIP code: 33187
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972331379 2024-07-25 2024-07-25 14922 SW 173RD TER, MIAMI, FL, 331876756, US 14922 SW 173RD TER, MIAMI, FL, 331876756, US

Contacts

Phone +1 786-502-5229

Authorized person

Name IVAN ARQUEZ JR.
Role PRESIDENT
Phone 7865025229

Taxonomy

Taxonomy Code 343900000X - Non-emergency Medical Transport (VAN)
Is Primary Yes

Agent

Name Role Address
ARQUEZ IVAN JR Agent 14922 SW 173 TERRACE, MIAMI, FL, 33187

President

Name Role Address
ARQUEZ IVAN JR President 14922 SW 173 TERRACE, MIAMI, FL, 33187

Director

Name Role Address
ARQUEZ IVAN JR Director 14922 SW 173 TERRACE, MIAMI, FL, 33187

Vice President

Name Role Address
GUILLEN JUANA F Vice President 14922 SW 173 TERRACE, MIAMI, FL, 33187

Documents

Name Date
Domestic Profit 2024-07-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State