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Individual

KRASIMIR IVANOV PASHALIEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
109 MELVIN ST, DESTIN, FL 32541-2338
(850) 368-9890
Mailing address
247 BENT ARROW DR, DESTIN, FL 32541-2551
(850) 368-9890

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
P241-509-77-214-0
FL
344600000X
Taxi
Primary
P241-509-77-214-0
FL

Other

Enumeration date
01/25/2019
Last updated
01/25/2019
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