=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891305298
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NIKKYBELL TRANSPORTATION SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2020
-----------------------------------------------------
Last Update Date | 07/31/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7340 HUNTERS GREENE CIR
-----------------------------------------------------
City | LAKELAND
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33810-5210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-614-3396
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 92837
-----------------------------------------------------
City | LAKELAND
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33804-2837
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-614-3396
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | JOSHUA O ADEBUSUYI
-----------------------------------------------------
Credential | CEO
-----------------------------------------------------
Telephone | 863-614-3396
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 347C00000X
-----------------------------------------------------
Taxonomy Name | Private Vehicle
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------