Provider Demographics
NPI:1245879055
Name:ATZA SWICHT TRANSPORTATION CORP
Entity type:Organization
Organization Name:ATZA SWICHT TRANSPORTATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PETIT
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:321-274-5957
Mailing Address - Street 1:1309 SANTA ROSA DRIVE
Mailing Address - Street 2:APT 202
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7572
Mailing Address - Country:US
Mailing Address - Phone:321-274-5957
Mailing Address - Fax:
Practice Address - Street 1:1309 SANTA ROSA DR APT 202
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7572
Practice Address - Country:US
Practice Address - Phone:321-274-5959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty