Healthcare Provider Details

I. General information

NPI: 1366978892
Provider Name (Legal Business Name): JIJEZ TRANSPORTATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2017
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1829 LACY LN
SANFORD FL
32771-6845
US

IV. Provider business mailing address

PO BOX 2341
SANFORD FL
32772-2341
US

V. Phone/Fax

Practice location:
  • Phone: 407-800-6177
  • Fax:
Mailing address:
  • Phone: 407-800-6177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number197915
License Number StateFL

VIII. Authorized Official

Name: JEANIE SEIDE
Title or Position: OWNER
Credential:
Phone: 407-800-6177