Edilberto Davila Marin, LLC

Primary specialty

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

Legal business name

EDILBERTO DAVILA MARIN, LLC

Practice address

118 S 10TH St
Haines City, FL 33844-5304

Phone

(407) 460-9909

Fax

(407) 350-5890

NPI assigned

Jan 3, 2019

Last updated

Jan 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edilberto Davila Marin

Title

Co-Owner

Phone

(407) 460-9909

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1942773825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S 10TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445304",
            "telephone_number": "863-204-8000",
            "fax_number": "407-350-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S 10TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445304",
            "telephone_number": "407-460-9909",
            "fax_number": "407-350-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDILBERTO DAVILA MARIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "DAVILA MARIN",
        "authorized_official_first_name": "EDILBERTO",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "407-460-9909"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Haines City, FL
• Providers in Haines City, 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 Jan 3, 2019; 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.