Provider Demographics
NPI:1831834555
Name:GATORS MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:GATORS MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JANSY
Authorized Official - Middle Name:M
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-230-6296
Mailing Address - Street 1:2400 N FORSYTH RD STE 106
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-6445
Mailing Address - Country:US
Mailing Address - Phone:407-230-6296
Mailing Address - Fax:
Practice Address - Street 1:2400 N FORSYTH RD STE 106
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-6445
Practice Address - Country:US
Practice Address - Phone:407-230-6296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)