Provider Demographics
NPI:1417401712
Name:WEST CENTRAL FLORIDA TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:WEST CENTRAL FLORIDA TRANSPORTATION, LLC
Other - Org Name:NORTHERN TANSIT, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VUE
Authorized Official - Middle Name:
Authorized Official - Last Name:VUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-448-7382
Mailing Address - Street 1:2340 GREENLEAF RD
Mailing Address - Street 2:
Mailing Address - City:WAUCHULA
Mailing Address - State:FL
Mailing Address - Zip Code:33873-8258
Mailing Address - Country:US
Mailing Address - Phone:863-448-7382
Mailing Address - Fax:
Practice Address - Street 1:2340 GREENLEAF RD
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873-8258
Practice Address - Country:US
Practice Address - Phone:863-448-7382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEST CENTRAL FLORIDA TRANSPORTATION, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-04
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL16000082726347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle