Provider Demographics
NPI:1164926523
Name:ALL VOLUSIA TRANSPORT, LLC
Entity Type:Organization
Organization Name:ALL VOLUSIA TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:APAKAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-736-8747
Mailing Address - Street 1:1540 S SR 15A # 5
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-7788
Mailing Address - Country:US
Mailing Address - Phone:386-736-8747
Mailing Address - Fax:386-490-4874
Practice Address - Street 1:1540 S SR 15A # 5
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-7788
Practice Address - Country:US
Practice Address - Phone:386-736-8747
Practice Address - Fax:386-490-4874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)