Provider Demographics
NPI:1992359756
Name:PRO HEALTH AND CARE TRANSPORTATION LLC.
Entity Type:Organization
Organization Name:PRO HEALTH AND CARE TRANSPORTATION LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:INA DEL
Authorized Official - Middle Name:CARMEN
Authorized Official - Last Name:MELENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPORT
Authorized Official - Phone:321-695-1452
Mailing Address - Street 1:2622 CARRICKTON CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-4228
Mailing Address - Country:US
Mailing Address - Phone:321-695-1452
Mailing Address - Fax:497-203-1094
Practice Address - Street 1:2622 CARRICKTON CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-4228
Practice Address - Country:US
Practice Address - Phone:321-695-1452
Practice Address - Fax:497-203-1094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)