Organization
COELLO TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A COELLO JR. (MANAGER)
(786) 261-3214
Entity
Organization
Contact information
Practice address
1015 LAKE SHORE DR APT 105, LAKE PARK, FL 33403-2800
(786) 261-3214
Mailing address
1015 LAKE SHORE DR APT 105, LAKE PARK, FL 33403-2800
(786) 261-3214
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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