Provider Demographics
NPI:1467079715
Name:CLOCKWORK ASSISTED CARE MOBILITY, LLC
Entity Type:Organization
Organization Name:CLOCKWORK ASSISTED CARE MOBILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMSARRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-595-9070
Mailing Address - Street 1:1031 OSPREY COVE CIR
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-2211
Mailing Address - Country:US
Mailing Address - Phone:407-233-5253
Mailing Address - Fax:
Practice Address - Street 1:1031 OSPREY COVE CIR
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-2211
Practice Address - Country:US
Practice Address - Phone:407-233-5253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)