Healthcare Provider Details

I. General information

NPI: 1285544957
Provider Name (Legal Business Name): GUARDIAN CARE TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14796 96TH PL
LIVE OAK FL
32060-6201
US

IV. Provider business mailing address

14796 96TH PL
LIVE OAK FL
32060-6201
US

V. Phone/Fax

Practice location:
  • Phone: 386-249-3877
  • Fax:
Mailing address:
  • Phone: 386-249-3877
  • 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: DAVID LEE LAXTON
Title or Position: CEO
Credential:
Phone: 386-249-3877