Organization Active NPI

TLT Transport

  • Non-emergency Medical Transport (VAN)
  • Pace, FL
National Provider Identifier
1730674524
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TLT TRANSPORT
Practice address
3061 Chippewa LN
Pace, FL 32571-9603
Phone
(850) 995-9300
NPI assigned
Jun 25, 2018
Last updated
Jun 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Dominic Frank Persichini Jr.
Title
Owner
Phone
(850) 995-9300

Specialties & licenses 1

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

Addresses

Primary practice location

3061 Chippewa LN
Pace, FL 32571-9603

Mailing address

3061 Chippewa LN
Pace, FL 32571-9603
Phone (850) 995-9300

Other names 1

  • TLT TRANSPORT Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1730674524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHIPPEWA LN",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719603",
            "telephone_number": "850-995-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 CHIPPEWA LN",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719603",
            "telephone_number": "850-995-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLT TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "PERSICHINI",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-995-9300",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLT TRANSPORT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.