Phoenix Transport Services LLC

Primary specialty

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

Legal business name

PHOENIX TRANSPORT SERVICES LLC

Practice address

3320 Buckland St
Deltona, FL 32738-5402

Phone

(321) 339-6196

NPI assigned

Sep 5, 2018

Organization subpart

No

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

Authorized official

Name

Pablo Ruben Sepulveda

Title

Co-Owner

Phone

(321) 624-2476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1376025486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 BUCKLAND ST",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327385402",
            "telephone_number": "321-339-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 BUCKLAND ST",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327385402",
            "telephone_number": "321-339-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX TRANSPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "321-624-2476"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald Pernell
• Marion M Peters, DC
• Gabrielle Demi Petrilli, APRN
• Stephanie Pezzuti, RBT
• Bryan Michael Phillips, LMT
• Antoinette Pierce, RN
• Domincia S Pinckney, RBT
• Maritza Santana Pomales
• Janae Ponder, MSW, LCSW
• Somolya Pritchard

• Non-emergency Medical Transport (VAN) in Deltona, FL
• Providers in Deltona, 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 Sep 5, 2018; 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.