Organization
CHAMPION 1 TRANSPORTATION LLC
Active
Other names
Champion 1 Transportation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD PERNELL (DIRECTOR OF OPERATIONS)
(352) 364-3475
Entity
Organization
Contact information
Practice address
1650 HOWLAND BLVD, DELTONA, FL 32738-5318
(352) 364-3475
Mailing address
1650 HOWLAND BLVD, DELTONA, FL 32738-5318
(352) 364-3475
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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