Healthcare Provider Details

I. General information

NPI: 1548170301
Provider Name (Legal Business Name): ORANGE MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2554 W COLONIAL DRIVE SUITE B
ORLANDO FL
32804
US

IV. Provider business mailing address

2554 W COLONIAL DR STE B
ORLANDO FL
32804-8009
US

V. Phone/Fax

Practice location:
  • Phone: 407-429-1209
  • Fax:
Mailing address:
  • Phone: 407-429-1209
  • Fax: 407-692-5675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: ROBENSON BERTRAND
Title or Position: OWNER
Credential:
Phone: 407-429-1209