Provider Demographics
NPI:1194275214
Name:FAST 6 OF AMERICA NATIONWIDE SERVICES, INC
Entity type:Organization
Organization Name:FAST 6 OF AMERICA NATIONWIDE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-949-1418
Mailing Address - Street 1:3101 SW 34TH AVE
Mailing Address - Street 2:SUITE 905-244
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4480
Mailing Address - Country:US
Mailing Address - Phone:980-949-1418
Mailing Address - Fax:
Practice Address - Street 1:3101 SW 34TH AVE
Practice Address - Street 2:SUITE 905-244
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4480
Practice Address - Country:US
Practice Address - Phone:980-949-1418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)