Provider Demographics
NPI:1811537640
Name:P&B HEALTH TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:P&B HEALTH TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA ALONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-779-2236
Mailing Address - Street 1:507 PINNACLE COVE BLVD APT 307
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-9396
Mailing Address - Country:US
Mailing Address - Phone:407-779-2236
Mailing Address - Fax:
Practice Address - Street 1:507 PINNACLE COVE BLVD APT 307
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-9396
Practice Address - Country:US
Practice Address - Phone:407-779-2236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle