Provider Demographics
NPI:1952781460
Name:BLUE AREA TRANSPORTATION, INC
Entity Type:Organization
Organization Name:BLUE AREA TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALMONT
Authorized Official - Middle Name:
Authorized Official - Last Name:ORANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-400-0545
Mailing Address - Street 1:4766 GOLGEN GATE PARKWAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116
Mailing Address - Country:US
Mailing Address - Phone:239-440-0545
Mailing Address - Fax:239-449-8469
Practice Address - Street 1:4766 GOLDEN GATE PKWY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-6984
Practice Address - Country:US
Practice Address - Phone:239-400-0545
Practice Address - Fax:239-449-8469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLCCTO20150002059343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========Medicaid