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Organization

MOVING FORWARD ELITE LLC

Active
Other names
MOVING FORWARD ELITE LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JEROME L STAMPER (CEO)
(904) 536-8988
Entity
Organization

Contact information

Practice address
3914 WINTON DR, JACKSONVILLE, FL 32208-2928
(904) 982-0333
Mailing address
3914 WINTON DR, JACKSONVILLE, FL 32208-2928
(904) 982-0333

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
09/08/2023
Last updated
10/10/2023
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