Provider Demographics
NPI:1366773277
Name:SUNRISE TRANSPORTATION INC
Entity type:Organization
Organization Name:SUNRISE TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:LLAUDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-542-1399
Mailing Address - Street 1:3333 RENAISSANCE BLVD
Mailing Address - Street 2:STE 203
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-7006
Mailing Address - Country:US
Mailing Address - Phone:305-542-1399
Mailing Address - Fax:
Practice Address - Street 1:3333 RENAISSANCE BLVD
Practice Address - Street 2:STE 203
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-7006
Practice Address - Country:US
Practice Address - Phone:305-542-1399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)