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Organization

INFINITE SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEPORSHIA BLACKMON (ADMINISTRATOR)
(407) 986-7557
Entity
Organization

Contact information

Practice address
4420 S US 27, 4, CLERMONT, FL 34711
(407) 986-7557
Mailing address
4420 S US 27, 4, CLERMONT, FL 34711
(407) 986-7557

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109915700
FL
Enumeration date
05/07/2021
Last updated
05/07/2021
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