Provider Demographics
NPI:1316538333
Name:QUALITY TRANSIT LLC
Entity Type:Organization
Organization Name:QUALITY TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:TALEIDA
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:GAMBLES
Authorized Official - Suffix:
Authorized Official - Credentials:NON EMERGENCY TRANIT
Authorized Official - Phone:352-705-1617
Mailing Address - Street 1:109 AMBERSWEET WAY # 177
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33897-8418
Mailing Address - Country:US
Mailing Address - Phone:352-705-1617
Mailing Address - Fax:
Practice Address - Street 1:3695 C.R. 754
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:FL
Practice Address - Zip Code:33597
Practice Address - Country:US
Practice Address - Phone:352-705-1617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)