Organization
ALTA RIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MONTOYA (MANAGER)
(813) 919-8048
Entity
Organization
Contact information
Practice address
4416 W OKLAHOMA AVE, TAMPA, FL 33616-1015
(813) 919-8048
Mailing address
4416 W OKLAHOMA AVE, TAMPA, FL 33616-1015
(813) 919-8048
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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