Organization Active NPI

PG Transport and Moving Service LLC

  • Non-emergency Medical Transport (VAN)
  • Tampa, FL
National Provider Identifier
1215773650
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PG TRANSPORT AND MOVING SERVICE LLC
Practice address
10208 Altavista Ave Apt 101
Tampa, FL 33647-3101
Phone
(727) 601-2922
NPI assigned
Jul 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Bonitto Mayne
Title
Owner/Operator
Phone
(727) 601-2922

Specialties & licenses 1

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

Addresses

Primary practice location

10208 Altavista Ave Apt 101
Tampa, FL 33647-3101

Mailing address

10208 Altavista Ave Apt 101
Tampa, FL 33647-3101
Phone (727) 601-2922

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1215773650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 ALTAVISTA AVE APT 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473101",
            "telephone_number": "727-601-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 ALTAVISTA AVE APT 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473101",
            "telephone_number": "727-601-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PG TRANSPORT AND MOVING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "MAYNE",
        "authorized_official_first_name": "BONITTO",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "727-601-2922"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.