Provider Demographics
NPI:1316743909
Name:GOLDEN QUALITY TRANSPORT, LLC
Entity type:Organization
Organization Name:GOLDEN QUALITY TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YADIER
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRERO NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-532-0769
Mailing Address - Street 1:4956 MAXWOOD RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-7605
Mailing Address - Country:US
Mailing Address - Phone:904-532-0769
Mailing Address - Fax:
Practice Address - Street 1:4956 MAXWOOD RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-7605
Practice Address - Country:US
Practice Address - Phone:904-532-0769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)