Organization
KINGDOM TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN MARCELLE (PRESIDENT)
(561) 713-6295
Entity
Organization
Contact information
Practice address
12230 FOREST HILL BLVD, 110 KK, WELLINGTON, FL 33414-5700
(561) 651-9618
(561) 651-9618
Mailing address
12230 FOREST HILL BLVD, 110 KK, WELLINGTON, FL 33414-5700
(561) 651-9618
(561) 651-9618
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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