Provider Demographics
NPI:1629766365
Name:KITT TRANSPORT SERVICES, LLC
Entity Type:Organization
Organization Name:KITT TRANSPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JARVARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-335-8647
Mailing Address - Street 1:914 SILVER RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-4227
Mailing Address - Country:US
Mailing Address - Phone:813-335-8647
Mailing Address - Fax:
Practice Address - Street 1:914 SILVER RIDGE WAY
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-4227
Practice Address - Country:US
Practice Address - Phone:813-335-8647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KITT TRANSPORT SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)