Organization
JUSTRANZIT SCHOOL BUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRE BUTLER (PRESIDENT)
(919) 791-5195
Entity
Organization
Contact information
Practice address
2306 N 49TH ST, FORT PIERCE, FL 34946-1017
(919) 791-5195
(772) 464-6522
Mailing address
2306 N 49TH ST, FORT PIERCE, FL 34946-1017
(919) 791-5195
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024834400
—
FL
05
—
15561650Z
—
FL
Enumeration date
12/30/2020
Last updated
12/30/2020
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