MEDICARE: CAST IRON 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	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1770116725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAST IRON TRANSPORTATION

Provider Business Mailing Address
First Line	:	10218 MAGNOLIA RIDGE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-4989
Country	:	US
Telephone Number	:	904-572-8490
Fax Number	:

Provider Business Practice Location Address
First Line	:	10218 MAGNOLIA RIDGE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-4989
Country	:	US
Telephone Number	:	904-572-8490
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	MR. ZAVIER D. CURTIS
Credential	:
Telephone Number	:	904-572-8490

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	02/18/2020

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Directions to “CAST IRON TRANSPORTATION ” Practice Location

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