Provider Demographics
NPI:1922713239
Name:INTERSTATE FLEET DISPATCHING COMPANY LLC
Entity Type:Organization
Organization Name:INTERSTATE FLEET DISPATCHING COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIND
Authorized Official - Middle Name:K
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-321-7652
Mailing Address - Street 1:27615 US HWY 27
Mailing Address - Street 2:STE 109 #201
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748
Mailing Address - Country:US
Mailing Address - Phone:352-321-7652
Mailing Address - Fax:352-323-8999
Practice Address - Street 1:4 WESTON RD
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-7103
Practice Address - Country:US
Practice Address - Phone:352-321-7652
Practice Address - Fax:352-323-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)