KONSTANTIN TARASOVSKIY

ST PETERSBURG, FL
NPI1285048876
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: FL  T621-519-68-378-0)
Enumeration Date2014-06-11
Last Update Date2014-06-11
Business Address
-- KONSTANTIN TARASOVSKIY
1400 GANDY BLVD N UNIT 516
ST PETERSBURG, FL 33702-2124
Phone number: 813-770-3118
Mailing Address
-- KONSTANTIN TARASOVSKIY
1400 GANDY BLVD N UNIT 516
ST PETERSBURG, FL 33702-2124
Phone number: 813-770-3118
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