Organization
MAXICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD PARUMA (PRESIDENT)
(513) 225-1039
Entity
Organization
Contact information
Practice address
3430 PRESCOTT ST N, ST PETERSBURG, FL 33713-2840
(513) 225-1039
Mailing address
3430 PRESCOTT ST N, ST PETERSBURG, FL 33713-2840
(513) 225-1039
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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