Organization
MUSTANG EXPRESS LLC
Active
Organization
MUSTANG EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONIE MARIE PROSE (CEO)
(727) 264-7193
Entity
Organization
Contact information
Practice address
5034 HERRING CT, NEW PORT RICHEY, FL 34652-3473
(727) 264-7193
Mailing address
5034 HERRING CT, NEW PORT RICHEY, FL 34652-3473
(727) 264-7193
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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