Organization
G C O NON-EMERGENCY MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAXIE M MINCY (CEO/ADMINISTRATOR/OWNER)
(352) 240-1144
Entity
Organization
Contact information
Practice address
1411 E MAIN ST STE 2, LEESBURG, FL 34748-5357
(352) 240-1144
Mailing address
PO BOX 350467, GRAND ISLAND, FL 32735-0467
(352) 240-1144
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112884400
—
FL
Enumeration date
10/24/2021
Last updated
07/16/2024
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