| NPI | 1184917577 |
|---|---|
| Doing Business As | 4040I PRO HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOSE M GONZALEZ CEO 888-880-9626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL g524420730431) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |