Provider Demographics
NPI:1619433026
Name:JMZ ADAPTIVE DRIVING & SS WHEELCHAIR TRANSPORT SERVICE
Entity Type:Organization
Organization Name:JMZ ADAPTIVE DRIVING & SS WHEELCHAIR TRANSPORT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAYVEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARRAGA
Authorized Official - Suffix:
Authorized Official - Credentials:COTA/L
Authorized Official - Phone:217-419-8959
Mailing Address - Street 1:31318 HEATHERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-6812
Mailing Address - Country:US
Mailing Address - Phone:813-973-2090
Mailing Address - Fax:813-973-2090
Practice Address - Street 1:31318 HEATHERSTONE DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-6812
Practice Address - Country:US
Practice Address - Phone:813-973-2090
Practice Address - Fax:813-973-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)