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Organization

ON DEMAND TRANSPORTATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS TOPHER O'NEAL WHITFIELD PARAMEDIC (OWNER)
(901) 512-8061
Entity
Organization

Contact information

Practice address
495 GRAND BLVD UNIT 206, MIRAMAR BEACH, FL 32550-1897
(901) 512-8061
Mailing address
2884 POPLAR WOODS DR # 2, SOUTHAVEN, MS 38672-7006
(901) 512-8061

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
11/22/2019
Last updated
11/22/2019
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