Organization Active NPI

Go Logix LLC

  • Land Ambulance
  • Plant City, FL
National Provider Identifier
1790262103
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GO LOGIX LLC
Practice address
911 S Woodrow Wilson St Ste 7
Plant City, FL 33563-9301
Phone
(813) 335-2028
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Mr. Scott Waxler
Title
Managing Member
Phone
(813) 335-2028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

911 S Woodrow Wilson St Ste 7
Plant City, FL 33563-9301

Mailing address

2406 E State Road 60 Unit 58
Valrico, FL 33595-8004
Phone (813) 335-2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181210002240 FL Part B Supplier - Ambulance Service Supplier 1557605086 Practice locations: Auburndale, FL

National Provider Directory

National Provider Directory

Locations

950 W Derby Ave
Auburndale, FL 33823
Phone (813) 335-2028

820 Creative Dr
Ste 7
Lakeland, FL 33813
Phone (813) 335-2028

911 S Woodrow Wilson St
Ste 7
Plant City, FL 33563
Phone (813) 335-2028

2406 E State Road 60
Unit 58
Valrico, FL 33595

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1790262103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 E STATE ROAD 60 UNIT 58",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335958004",
            "telephone_number": "813-335-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S WOODROW WILSON ST STE 7",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335639301",
            "telephone_number": "813-335-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO LOGIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "WAXLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-335-2028",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.