MEDICARE: DAYLIGHT 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)		FL

General Provider Information

NPI Number	:	1285136556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYLIGHT TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	3765 CRESCENT PARK BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-3829
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3765 CRESCENT PARK BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-3829
Country	:	US
Telephone Number	:	407-613-5752
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL SPRINGETTE
Credential	:
Telephone Number	:	407-613-5752

Provider Enumeration Date	:	03/02/2018
Last Update Date	:	03/02/2018

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