Active NPI
Go Logix LLC
- Land Ambulance
- Plant City, FL
National Provider Identifier
1790262103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181210002240 | FL | Part B Supplier - Ambulance Service Supplier | 1557605086 | Practice locations: Auburndale, FL |
National Provider Directory
National Provider DirectoryLocations
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.