Organization
UNIVERSAL COASTAL CARE & TRANSPORTS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A WALLACE JR. (OWNER/OPERATOR)
(813) 534-2327
Entity
Organization
Contact information
Practice address
3350 W HILLSBOROUGH AVE APT 1217, TAMPA, FL 33614-5885
(813) 534-2327
Mailing address
3350 W HILLSBOROUGH AVE APT 1217, TAMPA, FL 33614-5885
(813) 534-2327
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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