Organization
KEY MEDICAL TRANSPORT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MIKITYANSKIY (MANAGER)
(904) 910-1980
Entity
Organization
Contact information
Practice address
793 BLANDING BLVD STE D, ORANGE PARK, FL 32065-5792
(904) 402-4362
Mailing address
793 BLANDING BLVD STE D, ORANGE PARK, FL 32065-5792
(904) 402-4362
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/05/2021
Last updated
12/05/2021
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