| NPI | 1396379533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RONALD Owner 863-250-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 342000000X |
| Additional Taxonomies | 172A00000X Driver |
| 341600000X Ambulance | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2024-04-13 |