Organization
FARE WAY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENTURA SMITH (OWNER/OPERATOR)
(863) 271-4398
Entity
Organization
Contact information
Practice address
2330 GOLFVIEW ST, LAKELAND, FL 33801-2528
(863) 581-0881
(863) 500-1976
Mailing address
115 E VAN FLEET DR STE 245, BARTOW, FL 33830-3829
(863) 581-0881
(863) 500-1976
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114599900
—
FL
Enumeration date
02/04/2013
Last updated
12/21/2022
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