Provider Demographics
NPI:1235772278
Name:WALBERTO TAXI LLC
Entity Type:Organization
Organization Name:WALBERTO TAXI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETIT PAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-305-1959
Mailing Address - Street 1:2401 RICHARD AVE S
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33973-6172
Mailing Address - Country:US
Mailing Address - Phone:561-305-1959
Mailing Address - Fax:
Practice Address - Street 1:2602 45TH ST W
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-5758
Practice Address - Country:US
Practice Address - Phone:239-895-5139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker