Provider Demographics
NPI:1407392863
Name:V V A TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:V V A TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEIDY
Authorized Official - Middle Name:DEL CARMEN
Authorized Official - Last Name:BORJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-904-1087
Mailing Address - Street 1:2221 S PINE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5166
Mailing Address - Country:US
Mailing Address - Phone:352-629-6200
Mailing Address - Fax:352-629-6201
Practice Address - Street 1:2221 S PINE AVE STE A
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5166
Practice Address - Country:US
Practice Address - Phone:352-629-6200
Practice Address - Fax:352-629-6201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3439000000343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)