Organization
SUNSHINE MEDICAL TRANSPORT OF FL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL KEVIN GREEN OWNER (OWNER/DRIVER)
(850) 896-7678
Entity
Organization
Contact information
Practice address
106 CRESTWOOD LN, WEWAHITCHKA, FL 32465-3133
(850) 899-4635
Mailing address
106 CRESTWOOD LN, WEWAHITCHKA, FL 32465-3133
(850) 896-7678
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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