Healthcare Provider Details

I. General information

NPI: 1104065770
Provider Name (Legal Business Name): HANDICAPPED DRIVER SERVICES-FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 SAINT JOHNS BLUFF RD S
JACKSONVILLE FL
32246-3762
US

IV. Provider business mailing address

4199 KINROSS LAKES PKWY STE 300 ATTN: COMPLIANCE
RICHFIELD OH
44286-9394
US

V. Phone/Fax

Practice location:
  • Phone: 904-281-0111
  • Fax: 904-730-7272
Mailing address:
  • Phone: 234-312-2000
  • Fax: 330-620-2071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MEGAN MALOTT
Title or Position: COMPLIANCE MANAGER
Credential:
Phone: 234-200-1382