Organization
SAN LAZARO TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAZARO EMILIO GOMEZ (DRIVER/OWNER)
(321) 330-8211
Entity
Organization
Contact information
Practice address
215 CELEBRATION PL STE 520, CELEBRATION, FL 34747-5422
(321) 330-8211
Mailing address
1031 LANDSTAR PARK DR APT 305, ORLANDO, FL 32824-8669
(321) 330-8211
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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