Provider Demographics
NPI:1730658139
Name:NEWLIFETRANSPORTSERVICES.L.L.C
Entity Type:Organization
Organization Name:NEWLIFETRANSPORTSERVICES.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZE OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-601-4946
Mailing Address - Street 1:19123 PORTOFINO DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3091
Mailing Address - Country:US
Mailing Address - Phone:239-601-4946
Mailing Address - Fax:
Practice Address - Street 1:19123 PORTOFINO DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3091
Practice Address - Country:US
Practice Address - Phone:239-601-4946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle