Organization
FANTA VILLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCESS BARCHUE (OWNER)
(727) 815-5499
Entity
Organization
Contact information
Practice address
19135 US HIGHWAY 19 N # 1234, CLEARWATER, FL 33764-3201
(727) 386-8225
Mailing address
30190 US HIGHWAY 19 N # 1234, CLEARWATER, FL 33761-1044
(727) 386-8225
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
09/07/2023
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