Provider Demographics
NPI:1760981153
Name:JJ TRANSPORT OF ARCADIA, INC.
Entity Type:Organization
Organization Name:JJ TRANSPORT OF ARCADIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MADELON
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:MANSSFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-993-0471
Mailing Address - Street 1:1866 SE HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-8434
Mailing Address - Country:US
Mailing Address - Phone:863-993-0471
Mailing Address - Fax:863-993-3132
Practice Address - Street 1:1866 SE HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-8434
Practice Address - Country:US
Practice Address - Phone:863-993-0471
Practice Address - Fax:863-993-3132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)