Organization
GODGRACE HEALTH TRANSPORT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMAURY LI (OWNER/CEO)
(305) 842-6182
Entity
Organization
Contact information
Practice address
265 HIGHGATE PARK BLVD, DAVENPORT, FL 33897-7732
(305) 842-6182
Mailing address
265 HIGHGATE PARK BLVD, DAVENPORT, FL 33897-7732
(305) 842-6182
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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