MEDICARE: ONDRIVE TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1003610270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONDRIVE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1501 BELVEDERE RD STE 500
Second Line	:
City	:	WEST PALM BCH
State	:	FL
Zip	:	33406-1514
Country	:	US
Telephone Number	:	561-774-3017
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 BELVEDERE RD STE 500
Second Line	:
City	:	WEST PALM BCH
State	:	FL
Zip	:	33406-1514
Country	:	US
Telephone Number	:	561-774-3017
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DWAYNE DWYER
Credential	:
Telephone Number	:	347-613-7398

Provider Enumeration Date	:	04/04/2025
Last Update Date	:	04/04/2025

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