| NPI | 1770323040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAE MARTIN Chief Executive Officer 813-679-5122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-05-25 |
| Last Update Date | 2024-06-27 |