Healthcare Provider Details

I. General information

NPI: 1013145960
Provider Name (Legal Business Name): WASTETRANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2009
Last Update Date: 06/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7330 NW 1ST PL
PLANTATION FL
33317-2251
US

IV. Provider business mailing address

7330 NW 1ST PL
PLANTATION FL
33317-2251
US

V. Phone/Fax

Practice location:
  • Phone: 954-692-0790
  • Fax: 954-633-4993
Mailing address:
  • Phone: 954-692-0790
  • Fax: 954-633-4993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JONAS GUTU
Title or Position: PRESIDENT
Credential:
Phone: 954-692-0790