Provider Demographics
NPI: | 1558746677 |
---|---|
Name: | PRONTO CARE SERVICES, LLC |
Entity Type: | Organization |
Organization Name: | PRONTO CARE SERVICES, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | VICE PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ANA |
Authorized Official - Middle Name: | LILIAN |
Authorized Official - Last Name: | DURLER DE BANAYOT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 407-781-9498 |
Mailing Address - Street 1: | 3013 EAGLET LOOP |
Mailing Address - Street 2: | |
Mailing Address - City: | ORLANDO |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32837-6930 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 407-781-9498 |
Mailing Address - Fax: | 407-781-9570 |
Practice Address - Street 1: | 3013 EAGLET LOOP |
Practice Address - Street 2: | |
Practice Address - City: | ORLANDO |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32837-6930 |
Practice Address - Country: | US |
Practice Address - Phone: | 407-781-9498 |
Practice Address - Fax: | 407-781-9570 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-07-30 |
Last Update Date: | 2017-02-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 1147171 | 343900000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |