Organization
FC PRO SERVICES
Active
Organization
FC PRO SERVICES
Active
Other names
Lifeline Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRITZ CADICHON (OWNER)
(239) 848-9969
Entity
Organization
Contact information
Practice address
8148 GULL LN, FORT MYERS, FL 33967-3407
(239) 848-9969
Mailing address
8148 GULL LN, FORT MYERS, FL 33967-3407
(239) 848-9969
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751936
—
FL
Enumeration date
09/21/2020
Last updated
09/21/2020
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