Provider Demographics
NPI:1629840640
Name:DORE 2 DOOR TRANSPORTATION LLC
Entity Type:Organization
Organization Name:DORE 2 DOOR TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADDELIA
Authorized Official - Middle Name:MELVENIA
Authorized Official - Last Name:DORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-325-2518
Mailing Address - Street 1:665 GRIFFON AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE ALFRED
Mailing Address - State:FL
Mailing Address - Zip Code:33850-2582
Mailing Address - Country:US
Mailing Address - Phone:407-325-2518
Mailing Address - Fax:
Practice Address - Street 1:665 GRIFFON AVE
Practice Address - Street 2:
Practice Address - City:LAKE ALFRED
Practice Address - State:FL
Practice Address - Zip Code:33850-2582
Practice Address - Country:US
Practice Address - Phone:407-325-2518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)