Organization
QUALITY AND SAFETY TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLERY DOMINGUEZ (OWNER)
(239) 285-1343
Entity
Organization
Contact information
Practice address
4515 SE 11TH AVE, CAPE CORAL, FL 33904-8612
(239) 285-1343
Mailing address
4515 SE 11TH AVE, CAPE CORAL, FL 33904-8612
(239) 285-1343
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
10/13/2020
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