Provider Demographics
NPI:1285372763
Name:DA RIGHT WAY TRANSPORTATION
Entity type:Organization
Organization Name:DA RIGHT WAY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-401-5356
Mailing Address - Street 1:11713 MANGO CROSS CT
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-6411
Mailing Address - Country:US
Mailing Address - Phone:813-401-5356
Mailing Address - Fax:
Practice Address - Street 1:12711 LEMON PEPPER DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-7585
Practice Address - Country:US
Practice Address - Phone:813-401-5356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS552-532-82-806OtherTRANSPORTATION NONMEDICAL
FLS552532828060OtherTRANSPORTATION