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Organization

PANTHER MOUNTAIN ENTERPRISES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN KINCAID JR. (CEO)
(863) 412-6434
Entity
Organization

Contact information

Practice address
9151 CYPRESSWOOD DR, LAKE WALES, FL 33898-7217
(863) 412-6434
Mailing address
470 CITI CTR ST STE 1262, WINTER HAVEN, FL 33880-3425
(863) 412-6434

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
08/26/2025
Last updated
04/29/2026
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