Provider Demographics
NPI:1578329371
Name:K@J TRANSPORTATION FL INC
Entity Type:Organization
Organization Name:K@J TRANSPORTATION FL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JARVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-446-9876
Mailing Address - Street 1:361 SW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:FL
Mailing Address - Zip Code:33597-4858
Mailing Address - Country:US
Mailing Address - Phone:352-446-9876
Mailing Address - Fax:
Practice Address - Street 1:361 SW 5TH ST
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:FL
Practice Address - Zip Code:33597-4858
Practice Address - Country:US
Practice Address - Phone:352-446-9876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)