Healthcare Provider Details

I. General information

NPI: 1285372763
Provider Name (Legal Business Name): DA RIGHT WAY TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 05/24/2022
Certification Date: 05/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12711 LEMON PEPPER DR
RIVERVIEW FL
33578-7585
US

IV. Provider business mailing address

11713 MANGO CROSS CT
SEFFNER FL
33584-6411
US

V. Phone/Fax

Practice location:
  • Phone: 813-401-5356
  • Fax:
Mailing address:
  • Phone: 813-401-5356
  • Fax:

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: LATASHA L SIMMONS
Title or Position: OWNER
Credential:
Phone: 813-401-5356