Organization
BREEZERIDE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO DE LOS SANTOS (OWNER/MANAGER)
(239) 360-4040
Entity
Organization
Contact information
Practice address
1502 NE 11TH ST, CAPE CORAL, FL 33909-1577
(239) 360-4040
Mailing address
1502 NE 11TH ST, CAPE CORAL, FL 33909-1577
(239) 360-4040
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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