Provider Demographics
NPI:1386515740
Name:PRIMO TRANSPORTATION, LLC
Entity type:Organization
Organization Name:PRIMO TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMAS
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-490-6081
Mailing Address - Street 1:327 S GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-5930
Mailing Address - Country:US
Mailing Address - Phone:844-368-6368
Mailing Address - Fax:386-917-1924
Practice Address - Street 1:327 S GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-5930
Practice Address - Country:US
Practice Address - Phone:844-368-6368
Practice Address - Fax:386-917-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)