Provider Demographics
NPI:1881339927
Name:GATOR FREIGHTER SERVICES, LLC
Entity type:Organization
Organization Name:GATOR FREIGHTER SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-845-4454
Mailing Address - Street 1:6030 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-2524
Mailing Address - Country:US
Mailing Address - Phone:727-845-4454
Mailing Address - Fax:727-264-7942
Practice Address - Street 1:6030 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-2524
Practice Address - Country:US
Practice Address - Phone:727-845-4454
Practice Address - Fax:727-264-7942
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GATOR FREIGHTER SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)