Healthcare Provider Details

I. General information

NPI: 1639081102
Provider Name (Legal Business Name): SWIFT MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W COLONIAL DR STE 101
ORLANDO FL
32804-6863
US

IV. Provider business mailing address

12602 DOUGLAS FIR CT
CLERMONT FL
34711-6562
US

V. Phone/Fax

Practice location:
  • Phone: 352-432-8461
  • Fax:
Mailing address:
  • Phone: 352-432-8461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: THEODORE EUSTACHE
Title or Position: OWNER
Credential:
Phone: 352-432-8461