Provider Demographics
NPI:1467167676
Name:FLO TRANSPORT
Entity Type:Organization
Organization Name:FLO TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERARD
Authorized Official - Middle Name:COREY
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-673-7905
Mailing Address - Street 1:6412 QUEENS BOROUGH AVE APT 32835
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-7553
Mailing Address - Country:US
Mailing Address - Phone:407-844-6478
Mailing Address - Fax:
Practice Address - Street 1:6412 QUEENS BOROUGH AVE APT 32835
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-7553
Practice Address - Country:US
Practice Address - Phone:407-844-6478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)