Healthcare Provider Details

I. General information

NPI: 1275442931
Provider Name (Legal Business Name): A & G NEMT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4424 NW 13TH ST STE C5
GAINESVILLE FL
32609-1881
US

IV. Provider business mailing address

4424 NW 13TH ST STE C5
GAINESVILLE FL
32609-1881
US

V. Phone/Fax

Practice location:
  • Phone: 352-219-1661
  • Fax: 352-219-1661
Mailing address:
  • Phone: 352-219-1661
  • Fax: 352-219-1661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: AMANDA MAXWELL
Title or Position: OWNER
Credential:
Phone: 352-219-1661