Provider Demographics
NPI:1649817123
Name:ST CHARBEL TRANSPORTATION LLC
Entity type:Organization
Organization Name:ST CHARBEL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MENA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SHINODA
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPORTATION
Authorized Official - Phone:727-900-8702
Mailing Address - Street 1:7645 CITA LN
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6220
Mailing Address - Country:US
Mailing Address - Phone:347-210-2562
Mailing Address - Fax:
Practice Address - Street 1:7645 CITA LN
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6220
Practice Address - Country:US
Practice Address - Phone:347-210-2562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker