Provider Demographics
NPI:1336645373
Name:SUN EXPRESS TRANSPORTATION, LLC.
Entity Type:Organization
Organization Name:SUN EXPRESS TRANSPORTATION, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:B
Authorized Official - Last Name:LAROCHELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-898-1377
Mailing Address - Street 1:7900 NW 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-1669
Mailing Address - Country:US
Mailing Address - Phone:305-898-1377
Mailing Address - Fax:
Practice Address - Street 1:7900 NW 85TH AVE
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1669
Practice Address - Country:US
Practice Address - Phone:305-898-1377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10-169343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)