Provider Demographics
NPI:1194586933
Name:PRECIOUS KIDDOS TRANS SERVICES LLC
Entity type:Organization
Organization Name:PRECIOUS KIDDOS TRANS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANITHE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE BERNARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:321-945-1170
Mailing Address - Street 1:7490 CYPRESS GARDENS BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33884-4104
Mailing Address - Country:US
Mailing Address - Phone:321-945-1170
Mailing Address - Fax:863-268-2004
Practice Address - Street 1:7490 CYPRESS GARDENS BLVD
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-4104
Practice Address - Country:US
Practice Address - Phone:863-875-4281
Practice Address - Fax:863-268-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)