Provider Demographics
NPI:1871398248
Name:ON TIME COACH LLC DBA SECURE MOBILITY TRANSPORT
Entity type:Organization
Organization Name:ON TIME COACH LLC DBA SECURE MOBILITY TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-675-9626
Mailing Address - Street 1:9879 TIVOLI CHASE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8233
Mailing Address - Country:US
Mailing Address - Phone:407-675-9626
Mailing Address - Fax:
Practice Address - Street 1:9879 TIVOLI CHASE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8233
Practice Address - Country:US
Practice Address - Phone:407-675-9626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ON TIME COACH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)