Provider Demographics
NPI:1457992992
Name:DL TRANSPORT LLC
Entity Type:Organization
Organization Name:DL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICKELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-398-6514
Mailing Address - Street 1:5286 GOLDEN GATE PKWY STE 2
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-7650
Mailing Address - Country:US
Mailing Address - Phone:239-398-6514
Mailing Address - Fax:
Practice Address - Street 1:5286 GOLDEN GATE PKWY STE 2
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-7650
Practice Address - Country:US
Practice Address - Phone:239-398-6514
Practice Address - Fax:877-834-3446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)