Organization
PHOENIX TRANSPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO RUBEN SEPULVEDA (CO-OWNER)
(321) 624-2476
Entity
Organization
Contact information
Practice address
3320 BUCKLAND ST, DELTONA, FL 32738-5402
(321) 339-6196
Mailing address
3320 BUCKLAND ST, DELTONA, FL 32738-5402
(321) 339-6196
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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