Black Freight LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

BLACK FREIGHT LLC

Practice address

240 N Lake Shore Way
Lake Alfred, FL 33850-2036

Phone

(727) 229-0933

Fax

(863) 229-5992

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Bertony Dieudonne

Title

Financial Officer

Phone

(727) 229-0933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1841912920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N LAKE SHORE WAY",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502036",
            "telephone_number": "727-229-0933",
            "fax_number": "863-229-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N LAKE SHORE WAY",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502036",
            "telephone_number": "727-229-0933",
            "fax_number": "863-229-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK FREIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "DIEUDONNE",
        "authorized_official_first_name": "BERTONY",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "727-229-0933"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Lake Alfred, FL
• Providers in Lake Alfred, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.