Provider Demographics
NPI:1295275329
Name:G & G HEALTH TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:G & G HEALTH TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:BEATRIZ
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-864-3822
Mailing Address - Street 1:3823 N ECONLOCKHATCHEE TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-1640
Mailing Address - Country:US
Mailing Address - Phone:407-864-3822
Mailing Address - Fax:321-972-8316
Practice Address - Street 1:3823 N ECONLOCKHATCHEE TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-1640
Practice Address - Country:US
Practice Address - Phone:407-864-3822
Practice Address - Fax:321-972-8316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3100-1182269343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)