Organization
MINA TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS DOMINGUEZ (MANAGER)
(407) 427-3091
Entity
Organization
Contact information
Practice address
6869 MERRYVALE LN APT 21104, ORLANDO, FL 32822-5094
(407) 427-3091
Mailing address
PO BOX 720367, ORLANDO, FL 32872-0367
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
03/22/2022
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