Healthcare Provider Details

I. General information

NPI: 1457103350
Provider Name (Legal Business Name): MARUTI TRANSPORTATION GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 E NEW YORK AVE STE 200
DELAND FL
32724-5506
US

IV. Provider business mailing address

131 E NEW YORK AVE STE 200
DELAND FL
32724-5506
US

V. Phone/Fax

Practice location:
  • Phone: 407-412-5613
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: GLORIA LAMBERT
Title or Position: COMPLIANCE
Credential:
Phone: 407-412-5613