Healthcare Provider Details

I. General information

NPI: 1659263747
Provider Name (Legal Business Name): DOOR-TO-DOOR PATIENT TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4899 W COLONIAL DRIVE ORLANDO FL 32808 SUITE #4
ORLANDO FL
33827
US

IV. Provider business mailing address

4899 W COLONIAL DRIVE ORLANDO FL 32808 SUITE #4 SUITE #4
ORLANDO FL
33827
US

V. Phone/Fax

Practice location:
  • Phone: 863-852-5814
  • Fax: 863-852-5814
Mailing address:
  • Phone: 863-852-5814
  • Fax: 863-852-5814

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: MR. MICHAEL FORTUNE SR.
Title or Position: OWNER
Credential:
Phone: 863-852-5814