Provider Demographics
NPI:1659505303
Name:MY LEGACY TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:MY LEGACY TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:561-574-1650
Mailing Address - Street 1:1021 W CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-4443
Mailing Address - Country:US
Mailing Address - Phone:561-574-1650
Mailing Address - Fax:
Practice Address - Street 1:1021 W CENTRAL ST
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-4443
Practice Address - Country:US
Practice Address - Phone:561-574-1650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle