Sunnyvale Medical Transport LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

H160YD Issued in FL

Legal business name

SUNNYVALE MEDICAL TRANSPORT LLC

Practice address

4280 Lakeview Dr
Sebring, FL 33870-2020

Phone

(863) 381-3565

Fax

(863) 402-1155

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Karen L White

Title

Don

Phone

(863) 381-4367

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1780984039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 LAKEVIEW DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702020",
            "telephone_number": "863-381-3565",
            "fax_number": "863-402-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 LAKEVIEW DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702020",
            "telephone_number": "863-381-3565",
            "fax_number": "863-402-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYVALE MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "863-381-4367",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "FL",
            "license": "H160YD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Sebring, FL
• Providers in Sebring, FL by specialty
• Private Vehicle in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.