Active NPI
Black Swan Medical Transportation
- Non-emergency Medical Transport (VAN)
- Zephyrhills, FL
National Provider Identifier
1689365249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- BLACK SWAN MEDICAL TRANSPORTATION
- Practice address
- 39851 Jerry Rd
Zephyrhills, FL 33540-7101 - Phone
- (813) 679-7823
- NPI assigned
- May 16, 2023
- Last updated
- May 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marisela Molina Robles
- Title
- Owner
- Phone
- (813) 679-7823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary |
Addresses
Primary practice location
39851 Jerry Rd
Zephyrhills, FL 33540-7101
Mailing address
39851 Jerry Rd
Zephyrhills, FL 33540-7101
Phone (813) 679-7823
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Tampa, FL
- NPI 1851999429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684195200000",
"number": "1689365249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39851 JERRY RD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335407101",
"telephone_number": "813-679-7823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39851 JERRY RD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335407101",
"telephone_number": "813-679-7823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACK SWAN MEDICAL TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A",
"authorized_official_last_name": "MOLINA ROBLES",
"authorized_official_first_name": "MARISELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-679-7823"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.