Organization
CLARK TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRETT CLARK (OWNER)
(352) 434-1062
Entity
Organization
Contact information
Practice address
41152 GRAND RIDGE DR, UMATILLA, FL 32784-8662
(352) 434-1062
Mailing address
41152 GRAND RIDGE DR, UMATILLA, FL 32784-8662
(352) 434-1062
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8760040398
FL
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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