Healthcare Provider Details

I. General information

NPI: 1669970414
Provider Name (Legal Business Name): ZUNI TRANSPORTATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2018
Last Update Date: 01/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23635A S DIXIE HWY
PRINCETON FL
33032-2424
US

IV. Provider business mailing address

23635A S DIXIE HWY
PRINCETON FL
33032-2424
US

V. Phone/Fax

Practice location:
  • Phone: 305-258-9864
  • Fax: 305-258-0536
Mailing address:
  • Phone: 305-258-9864
  • Fax: 305-258-0536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. JORGE E AZOR
Title or Position: PRESIDENT
Credential:
Phone: 305-258-9864