| NPI | 1376025486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO RUBEN SEPULVEDA Co Owner 321-624-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |