Provider Demographics
NPI:1255647848
Name:BROTHER'S TRANSPORT
Entity type:Organization
Organization Name:BROTHER'S TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:352-317-3564
Mailing Address - Street 1:P.O. BOX 342
Mailing Address - Street 2:
Mailing Address - City:BRONSON
Mailing Address - State:FL
Mailing Address - Zip Code:32621
Mailing Address - Country:US
Mailing Address - Phone:352-317-3564
Mailing Address - Fax:352-486-6262
Practice Address - Street 1:470 EAST MAIN ST
Practice Address - Street 2:
Practice Address - City:BRONSON
Practice Address - State:FL
Practice Address - Zip Code:32621
Practice Address - Country:US
Practice Address - Phone:352-317-3564
Practice Address - Fax:352-486-6262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)