Organization
GRO MADANM ENTERPRISE LLC
Active
Other names
GRO MADANM
Organization subpart
No
Provider details
NPI number
Authorized official
OTNIEL LEFRANC (PRESIDENT)
(813) 364-9928
Entity
Organization
Contact information
Practice address
10730 N 56TH ST STE 204, TEMPLE TERRACE, FL 33617-3611
(813) 364-9928
Mailing address
4377 COMMERCIAL WAY # 103, SPRING HILL, FL 34606-1963
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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