Organization
MEDVAN TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE E BRIZUELA (OWNER)
(305) 414-4495
Entity
Organization
Contact information
Practice address
1031 BLAKLEY ST, PORT CHARLOTTE, FL 33980-1806
(305) 918-2787
Mailing address
1031 BLAKLEY ST, PORT CHARLOTTE, FL 33980-1806
(305) 918-2787
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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