Provider Demographics
NPI:1821419375
Name:MILLOY TRANSPORT, INC.
Entity Type:Organization
Organization Name:MILLOY TRANSPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:MILLOY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:352-264-8028
Mailing Address - Street 1:5200 W NEWBERRY RD
Mailing Address - Street 2:SUITE D9
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-6104
Mailing Address - Country:US
Mailing Address - Phone:352-264-8028
Mailing Address - Fax:352-264-8030
Practice Address - Street 1:5200 W NEWBERRY RD
Practice Address - Street 2:SUITE D9
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6104
Practice Address - Country:US
Practice Address - Phone:352-264-8028
Practice Address - Fax:352-264-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL40722343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)