Provider Demographics
NPI:1295519338
Name:AURORA SKY TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:AURORA SKY TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:LINCOLN
Authorized Official - Last Name:FARARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-717-4043
Mailing Address - Street 1:1235 PROVIDENCE BLVD # R1170
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-7363
Mailing Address - Country:US
Mailing Address - Phone:407-906-4556
Mailing Address - Fax:
Practice Address - Street 1:1235 PROVIDENCE BLVD # R1170
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-7363
Practice Address - Country:US
Practice Address - Phone:407-906-4556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)