Provider Demographics
NPI:1992263594
Name:SUNSHINE EXPRESS TRANSPORT LLC
Entity type:Organization
Organization Name:SUNSHINE EXPRESS TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-897-4468
Mailing Address - Street 1:8010 N CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:CITRUS SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34434-6909
Mailing Address - Country:US
Mailing Address - Phone:352-897-4468
Mailing Address - Fax:352-474-2108
Practice Address - Street 1:8010 N CREEK WAY
Practice Address - Street 2:
Practice Address - City:CITRUS SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34434-6909
Practice Address - Country:US
Practice Address - Phone:352-897-4468
Practice Address - Fax:352-474-2108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)