Organization
LANDSTAR MEDICAL TRANSPORT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL MARIO FERNANDEZ (PRESIDENT)
(786) 362-4516
Entity
Organization
Contact information
Practice address
10304 EATON PL STE 100, FAIRFAX, VA 22030-2238
(786) 362-4516
Mailing address
6421 TAMIAMI CANAL RD, MIAMI, FL 33126-4561
(786) 362-4516
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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