Prime Time Medical Transport LLC

Primary specialty

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

Legal business name

PRIME TIME MEDICAL TRANSPORT LLC

Practice address

454 Lake Harris Dr
Lakeland, FL 33813-2689

Phone

(863) 777-0833

Fax

(863) 583-0878

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Jessie Perlado

Title

Owner

Phone

(863) 393-7222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1861194144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 LAKE HARRIS DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132689",
            "telephone_number": "863-777-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 LAKE HARRIS DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132689",
            "telephone_number": "863-777-0833",
            "fax_number": "863-583-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME TIME MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "PERLADO",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-393-7222"
    },
    "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 Lakeland, FL
• Providers in Lakeland, 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 Mar 20, 2023; 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.