MEDICARE: PRONTO CARE SERVICES, 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)	1147171	FL

General Provider Information

NPI Number	:	1558746677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRONTO CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	3013 EAGLET LOOP
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6930
Country	:	US
Telephone Number	:	407-781-9498
Fax Number	:	407-781-9570

Provider Business Practice Location Address
First Line	:	3013 EAGLET LOOP
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6930
Country	:	US
Telephone Number	:	407-781-9498
Fax Number	:	407-781-9570

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	ANA LILIAN DURLER DE BANAYOT
Credential	:
Telephone Number	:	407-781-9498

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	02/14/2017

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