Provider Demographics
NPI:1932396686
Name:DASH TRANSPORT INC.
Entity Type:Organization
Organization Name:DASH TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:HEATHCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-527-1122
Mailing Address - Street 1:1641A W GULF TO LAKE HWY
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461-8020
Mailing Address - Country:US
Mailing Address - Phone:352-527-1122
Mailing Address - Fax:352-527-1161
Practice Address - Street 1:1641A W GULF TO LAKE HWY
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-8020
Practice Address - Country:US
Practice Address - Phone:352-527-1122
Practice Address - Fax:352-527-1161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL411902449773416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport