NPIMap

Organization Active NPI

Premium Transportion, LLC

  • Non-emergency Medical Transport (VAN)
  • Land O Lakes, FL
National Provider Identifier
1407406101
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PREMIUM TRANSPORTION, LLC
Practice address
9519 Simeon Dr
Land O Lakes, FL 34638-6914
Phone
(347) 698-9257
NPI assigned
Sep 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Authorized official

Name
Antonio P Tavares, TRANSPORTATION
Title
President
Phone
(347) 698-9257

Specialties & licenses 1

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

Addresses

Primary practice location

9519 Simeon Dr
Land O Lakes, FL 34638-6914

Mailing address

9519 Simeon Dr
Land O Lakes, FL 34638-6914
Phone (347) 698-9257

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568419200000",
    "number": "1407406101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9519 SIMEON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386914",
            "telephone_number": "347-698-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9519 SIMEON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386914",
            "telephone_number": "347-698-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM TRANSPORTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-14",
        "status": "A",
        "authorized_official_last_name": "TAVARES",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-698-9257",
        "authorized_official_credential": "TRANSPORTATION"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.