MEDICARE: LUMINOUS TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1841079746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMINOUS TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	8865 COMMODITY CIR STE 14-103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-9056
Country	:	US
Telephone Number	:	407-209-5701
Fax Number	:

Provider Business Practice Location Address
First Line	:	8865 COMMODITY CIR STE 14-103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-9056
Country	:	US
Telephone Number	:	407-209-5701
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. LUDWINCE LOUIS
Credential	:
Telephone Number	:	407-209-5701

Provider Enumeration Date	:	09/28/2023
Last Update Date	:	09/28/2023

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