Healthcare Provider Details

I. General information

NPI: 1720612690
Provider Name (Legal Business Name): TRANSCARE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 02/29/2020
Certification Date: 02/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12701 S JOHN YOUNG PKWY STE 216
ORLANDO FL
32837-3423
US

IV. Provider business mailing address

12701 S JOHN YOUNG PKWY STE 216
ORLANDO FL
32837-3423
US

V. Phone/Fax

Practice location:
  • Phone: 321-337-3850
  • Fax:
Mailing address:
  • Phone: 321-337-3850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDRES E BRACHO
Title or Position: GENERAL MANAGER
Credential:
Phone: 321-337-3850