Organization
VITAL HEALTH MOBILITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMONIQUE VICKERS (OWNER)
(813) 498-9937
Entity
Organization
Contact information
Practice address
325 S PARSONS AVE, BRANDON, FL 33511-5228
(813) 498-9937
Mailing address
15418 FIRE ROCK PL, RUSKIN, FL 33573-0196
(813) 498-9937
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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