Provider Demographics
NPI:1063277184
Name:FRONTIDA LLC
Entity type:Organization
Organization Name:FRONTIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:ORIGHOYE
Authorized Official - Middle Name:I
Authorized Official - Last Name:DORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-223-8839
Mailing Address - Street 1:5711 CROWNTREE LN APT 202
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8034
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5711 CROWNTREE LN APT 202
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8034
Practice Address - Country:US
Practice Address - Phone:407-223-8839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)