Organization Active NPI

MJ Transportation Care Service LLC

  • Non-emergency Medical Transport (VAN)
  • Lakeland, FL
National Provider Identifier
1063393825
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MJ TRANSPORTATION CARE SERVICE LLC
Practice address
1421 Commercial Park Dr Ste 6
Lakeland, FL 33801-6567
Phone
(863) 210-5966
Fax
(863) 210-5966
NPI assigned
Sep 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Juan Ramon Pimentel Fabian
Title
Owner
Phone
(929) 264-2409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1421 Commercial Park Dr Ste 6
Lakeland, FL 33801-6567

Mailing address

1421 Commercial Park Dr Ste 6
Lakeland, FL 33801-6567
Phone (863) 210-5966

National Provider Directory

National Provider Directory

Locations

1421 Commercial Park Dr
Ste 6
Lakeland, FL 33801
Phone (863) 210-5966

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1063393825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 COMMERCIAL PARK DR STE 6",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016567",
            "telephone_number": "863-210-5966",
            "fax_number": "863-210-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 COMMERCIAL PARK DR STE 6",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016567",
            "telephone_number": "863-210-5966",
            "fax_number": "863-210-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ TRANSPORTATION CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL FABIAN",
        "authorized_official_first_name": "JUAN RAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-264-2409"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.