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General NPI Number Information
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NPI Number | 1174428338
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Entity Type | Organization
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Legal Business Name | J&G DIRECT TRANSPORT LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 1254 AMAZON LN
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City | POINCIANA
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State | FL
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Zip | 34759-5032
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Country | US
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Telephone | 321-588-3252
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Fax |
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Provider Business Mailing Address
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Address Line | 1254 AMAZON LN
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City | POINCIANA
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State | FL
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Zip | 34759-5032
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Country | US
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Telephone | 321-588-3252
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | MADELIN ROSMERY NUNEZ SANCHEZ
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Credential |
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Telephone | 321-588-3252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | NULL
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