Organization
PURPOSEFUL TRANSPORTATION
Active
Organization
PURPOSEFUL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANELL VONTRES GRAY (OWNER)
(863) 535-8954
Entity
Organization
Contact information
Practice address
237 ST GEORGES CIR, EAGLE LAKE, FL 33839-5211
(863) 535-8954
Mailing address
237 ST GEORGES CIR, EAGLE LAKE, FL 33839-5211
(863) 535-8954
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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