Provider Demographics
NPI:1871465104
Name:MED SPRINT LOGISTICS
Entity type:Organization
Organization Name:MED SPRINT LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:NEMT
Authorized Official - Phone:863-397-8688
Mailing Address - Street 1:168 ASPIRE DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-2491
Mailing Address - Country:US
Mailing Address - Phone:863-624-4828
Mailing Address - Fax:
Practice Address - Street 1:168 ASPIRE DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34747-2491
Practice Address - Country:US
Practice Address - Phone:863-624-4828
Practice Address - Fax:
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)