Provider Demographics
NPI:1487989612
Name:FLORIDATRANSCARE
Entity type:Organization
Organization Name:FLORIDATRANSCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-716-9757
Mailing Address - Street 1:915 DOYLE RD
Mailing Address - Street 2:STE# 112
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-8254
Mailing Address - Country:US
Mailing Address - Phone:407-716-9757
Mailing Address - Fax:386-626-3421
Practice Address - Street 1:915 DOYLE RD
Practice Address - Street 2:STE# 112
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-8254
Practice Address - Country:US
Practice Address - Phone:407-716-9757
Practice Address - Fax:386-626-3421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)