Healthcare Provider Details

I. General information

NPI: 1487558573
Provider Name (Legal Business Name): BRANDI'S ON TIME TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3871 GRAND AVE
DELAND FL
32720-4514
US

IV. Provider business mailing address

3871 GRAND AVE
DELAND FL
32720-4514
US

V. Phone/Fax

Practice location:
  • Phone: 386-848-6161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: CRISSY LLOYD
Title or Position: MANAGING MEMBER
Credential:
Phone: 386-848-6161