Provider Demographics
NPI:1538966353
Name:PLENUS TRANSPORTATION GROUP LLC
Entity type:Organization
Organization Name:PLENUS TRANSPORTATION GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ERRICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-354-1753
Mailing Address - Street 1:502 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-6720
Mailing Address - Country:US
Mailing Address - Phone:786-354-1753
Mailing Address - Fax:
Practice Address - Street 1:502 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-6720
Practice Address - Country:US
Practice Address - Phone:786-354-1753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)