| NPI | 1902614563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA WICKETT Dir. Of Finance 863-665-3846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2024-12-27 |