Organization
PREMIUM TRANSPORTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO P TAVARES TRANSPORTATION (PRESIDENT)
(347) 698-9257
Entity
Organization
Contact information
Practice address
9519 SIMEON DR, LAND O LAKES, FL 34638-6914
(347) 698-9257
Mailing address
9519 SIMEON DR, LAND O LAKES, FL 34638-6914
(347) 698-9257
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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