Provider Demographics
NPI:1255787024
Name:SIGNATURE ENTERPRISES LLC
Entity type:Organization
Organization Name:SIGNATURE ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-219-8778
Mailing Address - Street 1:PO BOX 773642
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34477-3642
Mailing Address - Country:US
Mailing Address - Phone:352-219-8778
Mailing Address - Fax:352-732-4321
Practice Address - Street 1:1540 SW 7TH RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0564
Practice Address - Country:US
Practice Address - Phone:352-219-8778
Practice Address - Fax:352-732-4321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLM520621813870343800000X, 343900000X, 344600000X, 347E00000X, 347B00000X
IL8787343900000X, 343800000X, 344600000X, 347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347E00000XTransportation ServicesTransportation Broker