Provider Demographics
NPI:1457996621
Name:DOOR 2 DOOR SENIOR TRANSPORTATION LLC
Entity Type:Organization
Organization Name:DOOR 2 DOOR SENIOR TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-443-9134
Mailing Address - Street 1:13628 ASHLAR SLATE PL
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-2139
Mailing Address - Country:US
Mailing Address - Phone:813-443-9134
Mailing Address - Fax:
Practice Address - Street 1:13628 ASHLAR SLATE PL
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-2139
Practice Address - Country:US
Practice Address - Phone:813-443-9134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)