Provider Demographics
NPI:1083470553
Name:GENTLE HEART TRANSPORTATION LLC
Entity Type:Organization
Organization Name:GENTLE HEART TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:TROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-514-6618
Mailing Address - Street 1:5800 NW 39TH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6972
Mailing Address - Country:US
Mailing Address - Phone:352-514-6618
Mailing Address - Fax:
Practice Address - Street 1:5800 NW 39TH AVE STE 103
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6972
Practice Address - Country:US
Practice Address - Phone:352-514-6618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)