MEDICARE: CIMARRONE TRANSPORTATION

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	:	1447122122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIMARRONE TRANSPORTATION

Provider Business Mailing Address
First Line	:	4537 MAJESTIC HILLS LOOP
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34601-6495
Country	:	US
Telephone Number	:	352-410-4105
Fax Number	:

Provider Business Practice Location Address
First Line	:	4537 MAJESTIC HILLS LOOP
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34601-6495
Country	:	US
Telephone Number	:	352-410-4105
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROBERT WHITE
Credential	:
Telephone Number	:	813-900-2736

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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Directions to “CIMARRONE TRANSPORTATION ” Practice Location

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