Provider Demographics
NPI:1760020085
Name:ITRANSIT
Entity Type:Organization
Organization Name:ITRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSITANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-913-4076
Mailing Address - Street 1:236 STONY POINT DR
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-6485
Mailing Address - Country:US
Mailing Address - Phone:772-913-4072
Mailing Address - Fax:772-918-8872
Practice Address - Street 1:236 STONY POINT DR
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-6485
Practice Address - Country:US
Practice Address - Phone:772-913-4072
Practice Address - Fax:772-918-8872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)