Organization
EXTRAORDINARY TRANSPORT, INC
Active
Organization
EXTRAORDINARY TRANSPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL THOMAS (OWNER)
(561) 313-3531
Entity
Organization
Contact information
Practice address
4220 LAKE WORTH RD, LAKE WORTH, FL 33461-3933
(561) 379-5591
Mailing address
4220 LAKE WORTH RD, LAKE WORTH, FL 33461-3933
(561) 379-5591
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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