Organization
FIVE STAR QUALITY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA M JOHNSON (CEO)
(904) 923-3505
Entity
Organization
Contact information
Practice address
10225 MAGNOLIA RIDGE DR, JACKSONVILLE, FL 32210-4991
(904) 923-3505
Mailing address
PO BOX 440931, JACKSONVILLE, FL 32222-0010
(904) 923-3505
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063970358
—
FL
Enumeration date
03/10/2020
Last updated
03/18/2020
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