| NPI | 1609306208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNICKA SAMUEL Owner/President 352-299-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |