J17 PREMIER TRANSPORT NPI 1609282334

NPI Information

  • NPI: 1609282334
  • Provider Name: J17 PREMIER TRANSPORT
  • Classification: Private Vehicle - 347C00000X
  • Entity Type: Organization
  • Address: 11231 LAKE LANIER DR
    RIVERVIEW, FL
    ZIP 33569
  • Phone: (727) 251-8184

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NPI Details

J17 PREMIER TRANSPORT is a private vehicle in Riverview, FL. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. J17 PREMIER TRANSPORT NPI is 1609282334. The provider is registered as an organization entity type.

The provider's business location address is:

11231 LAKE LANIER DR
RIVERVIEW, FL
ZIP 33569-935
Phone: (727) 251-8184

The provider's authorized official is Jeffrey Mark Watters .
The authorized official title is President and has the following contact phone number (727) 251-8184.

The enumeration date for this NPI number is 7/2/2014 and was last updated on 7/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1347C00000XPrivate VehicleW362-433-59-361-0FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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