Provider Demographics
NPI:1073389375
Name:FLORIDA PROCARE TRANSPORTATION
Entity Type:Organization
Organization Name:FLORIDA PROCARE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MUROKA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:913-375-7263
Mailing Address - Street 1:6714 BOUGANVILLEA CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-6615
Mailing Address - Country:US
Mailing Address - Phone:407-800-5054
Mailing Address - Fax:
Practice Address - Street 1:6714 BOUGANVILLEA CRESCENT DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-6615
Practice Address - Country:US
Practice Address - Phone:407-800-5054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)