Healthcare Provider Details

I. General information

NPI: 1114857869
Provider Name (Legal Business Name): FCW TRANSPORT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8798 SONOMA COAST DR
WINTER GARDEN FL
34787-8454
US

IV. Provider business mailing address

7901 4TH ST N # 26152
ST PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 321-478-9363
  • Fax:
Mailing address:
  • Phone: 321-478-9363
  • 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: FARREN JENKINS
Title or Position: OWNER
Credential:
Phone: 321-478-9363