Organization
VJCARETRANSPORTATION
Active
Other names
vjcaretransportation, vjcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR RUSSO SR. (TECHNICAL MANAGER AND INFORMATION)
(954) 822-8212
Entity
Organization
Contact information
Practice address
15430 COUNTY ROAD 565A # MAILBOXV, GROVELAND, FL 34736-8242
(954) 822-8212
Mailing address
15430 COUNTY ROAD 565A # MAILBOXV, GROVELAND, FL 34736-8242
(954) 822-8212
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836545582
—
FL
Enumeration date
11/13/2018
Last updated
11/13/2018
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