| NPI | 1760047245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKENSON ARISTIL Owner 813-504-9074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |