| NPI | 1164922670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CORNELIUS CLARK General Manager 727-201-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL 00056660) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |