Healthcare Provider Details

I. General information

NPI: 1265324560
Provider Name (Legal Business Name): DESTINY MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7751 RIFFLE LN
ORLANDO FL
32818-1209
US

IV. Provider business mailing address

7751 RIFFLE LN
ORLANDO FL
32818-1209
US

V. Phone/Fax

Practice location:
  • Phone: 689-217-3134
  • Fax:
Mailing address:
  • Phone: 689-217-3134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: MYLES OLNEY SYLVAIN
Title or Position: MANAGER
Credential:
Phone: 689-217-3134