Provider Demographics
NPI:1558972158
Name:ADII TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ADII TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARIO
Authorized Official - Middle Name:MAXIMILIANO
Authorized Official - Last Name:REARTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-570-6918
Mailing Address - Street 1:3402 WESTFIELD DR
Mailing Address - Street 2:
Mailing Address - City:GREEN COVE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32043-5251
Mailing Address - Country:US
Mailing Address - Phone:904-406-0888
Mailing Address - Fax:904-214-3966
Practice Address - Street 1:CLAY AND DUVAL COUNTY
Practice Address - Street 2:
Practice Address - City:GREEN COVE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32043-5251
Practice Address - Country:US
Practice Address - Phone:904-406-0888
Practice Address - Fax:904-214-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)