Provider Demographics
NPI:1366913741
Name:GARDEN TRANSPORTATION LLC
Entity type:Organization
Organization Name:GARDEN TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:TRICOLI
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:407-947-3084
Mailing Address - Street 1:660 PALM SPRINGS DR STE D
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-7864
Mailing Address - Country:US
Mailing Address - Phone:407-332-9871
Mailing Address - Fax:407-386-3155
Practice Address - Street 1:375 MOUNT PLEASANT AVE STE 210
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2751
Practice Address - Country:US
Practice Address - Phone:973-736-3390
Practice Address - Fax:407-386-3155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)