Central FL. Social & Civic Group Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CENTRAL FL. SOCIAL & CIVIC GROUP TRANSPORTATION LLC

Doing business as

direct route couriers

Practice address

1722 Bonita Ave
Orlando, FL 32805-4425

Phone

(321) 460-3715

Fax

(407) 271-8853

NPI assigned

Feb 24, 2012

Last updated

Feb 24, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL FL. SOCIAL & CIVIC GROUP LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick Demetrius Mullins

Title

Owner/Operator

Phone

(321) 460-3715

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• direct route couriers Doing business as

Part of

Central FL Social Civic Group Transportation LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1013281922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 BONITA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328054425",
            "telephone_number": "321-460-3715",
            "fax_number": "407-271-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 BONITA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328054425",
            "telephone_number": "321-460-3715",
            "fax_number": "407-271-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FL. SOCIAL & CIVIC GROUP TRANSPORTATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL FL. SOCIAL & CIVIC GROUP LLC",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DEMETRIUS",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "321-460-3715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "direct route couriers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centerwell Senior Primary Care VA PLLC
• Donald J Centner, MD
• Central Care Pharmacy
• Central FL Pharmacy Corp (Central FL Pharmacy)
• Central FL Pharmacy Corp. (Central FL Pharmacy)
• Central Florida Achievements & Outcomes, Inc.
• Central Florida Adult Medicine
• Central Florida Ambulance, Inc. (American Ambulance)
• Central Florida Anesthesia Services LLC
• Central Florida Audiology & Hearing Clinic, Inc.

• Non-emergency Medical Transport (VAN) in Orlando, FL
• Providers in Orlando, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.