Healthcare Provider Details

I. General information

NPI: 1891649265
Provider Name (Legal Business Name): GL PREMIER TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 NW 100TH ST
MIAMI FL
33147-2043
US

IV. Provider business mailing address

16368 VALENCIA BLVD
LOXAHATCHEE FL
33470-2705
US

V. Phone/Fax

Practice location:
  • Phone: 561-985-1169
  • Fax:
Mailing address:
  • Phone: 561-985-1169
  • 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: GLENDA REYES
Title or Position: MANAGING MEMBER
Credential:
Phone: 561-985-1169