Organization
HURRICANE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTTO R GORDILLO JR. (OWNER)
(352) 286-9138
Entity
Organization
Contact information
Practice address
16362 SW 27TH TERRACE RD, OCALA, FL 34473-7431
(352) 286-9138
Mailing address
16362 SW 27TH TERRACE RD, OCALA, FL 34473-7431
(352) 286-9138
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L19000176221
LLC DOCUMENT NUMBER
FL
Enumeration date
08/31/2020
Last updated
09/02/2020
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