Organization
FLOWING GRACE TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMAHA ONI (CHIEF OPERATING OFFICER)
(407) 967-5035
Entity
Organization
Contact information
Practice address
202 TOMOKA TRL, LONGWOOD, FL 32779-4925
(407) 967-5035
Mailing address
202 TOMOKA TRL, LONGWOOD, FL 32779-4925
(407) 967-5035
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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