Provider Demographics
NPI:1073017778
Name:TRANS-MED TRASPORTATION
Entity Type:Organization
Organization Name:TRANS-MED TRASPORTATION
Other - Org Name:LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-905-8861
Mailing Address - Street 1:199 AFTON SQ UNIT 111
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3839
Mailing Address - Country:US
Mailing Address - Phone:386-561-3866
Mailing Address - Fax:
Practice Address - Street 1:220 WHISPERING OAKS CT APT C
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-6668
Practice Address - Country:US
Practice Address - Phone:787-905-8861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker