Provider Demographics
NPI:1447122122
Name:CIMARRONE TRANSPORTATION
Entity type:Organization
Organization Name:CIMARRONE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-900-2736
Mailing Address - Street 1:4537 MAJESTIC HILLS LOOP
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-6495
Mailing Address - Country:US
Mailing Address - Phone:352-410-4105
Mailing Address - Fax:
Practice Address - Street 1:4537 MAJESTIC HILLS LOOP
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-6495
Practice Address - Country:US
Practice Address - Phone:352-410-4105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)