=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174056683
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GLOBAL TRANSCOM SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2017
-----------------------------------------------------
Last Update Date | 04/11/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6220 S ORANGE BLOSSOM TRL STE 108
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32809-4630
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-854-8470
-----------------------------------------------------
Fax | 407-812-8888
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6220 S ORANGE BLOSSOM TRL STE 108
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32809-4630
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-854-8470
-----------------------------------------------------
Fax | 407-812-8888
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | MS. LILIVETTE RAMOS
-----------------------------------------------------
Credential | M.S.
-----------------------------------------------------
Telephone | 407-854-8470
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 347E00000X
-----------------------------------------------------
Taxonomy Name | Transportation Broker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------