Organization
BREAKTHROUGH MED TRANSPORT LLC
Active
Parent organization
BREAKTHROUGH TRANSITIONS LLC
Other names
Breakthrough Transitions LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREAKTHROUGH TRANSITIONS LLC
Authorized official
STEPHANIE MCSHAN LCSW (OWNER/ PROVIDER)
(407) 616-1530
Entity
Organization
Contact information
Practice address
2110 N DONNELLY ST STE 500, MOUNT DORA, FL 32757-6968
(321) 362-4176
(321) 256-5176
Mailing address
PO BOX 639, PLYMOUTH, FL 32768-0639
(407) 616-1530
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
01/27/2021
Last updated
01/26/2022
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