Healthcare Provider Details

I. General information

NPI: 1285559344
Provider Name (Legal Business Name): MAYO MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1287 COASTAL MEADOW TRL
JACKSONVILLE FL
32218-3556
US

IV. Provider business mailing address

1287 COASTAL MEADOW TRL
JACKSONVILLE FL
32218-3556
US

V. Phone/Fax

Practice location:
  • Phone: 904-753-6962
  • Fax:
Mailing address:
  • Phone: 904-753-6962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MAKISHA N MAYO
Title or Position: OWNER
Credential:
Phone: 994-753-6962