Healthcare Provider Details
I. General information
NPI: 1922914787
Provider Name (Legal Business Name): J3 PREMIER TRANSPORT SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
413 CASTING CT
ORLANDO FL
32825-7225
US
IV. Provider business mailing address
413 CASTING CT
ORLANDO FL
32825-7225
US
V. Phone/Fax
- Phone: 240-478-8981
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PRISCILLA
JONATHAS
Title or Position: CEO
Credential:
Phone: 407-374-3487