Organization
MEDI GO FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PROFENNO (OWNER)
(407) 808-5665
Entity
Organization
Contact information
Practice address
16246 CITRUS PKWY, CLERMONT, FL 34714-6325
(407) 808-5665
Mailing address
7512 DR PHILLIPS BLVD STE 50-104, ORLANDO, FL 32819-5420
(407) 808-5665
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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