Organization
BLACK COACH TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DIXON (OWNER)
(352) 461-7174
Entity
Organization
Contact information
Practice address
500 GILLIAM ST APT A2, WILDWOOD, FL 34785-4658
(352) 461-7174
(352) 748-8895
Mailing address
500 GILLIAM ST APT A2, WILDWOOD, FL 34785-4658
(352) 461-7174
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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