Organization
GRANT MEDICAL TRANSPORTATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN J SKAVRONECK (CHIEF OPERATING OFFICER)
(941) 613-6427
Entity
Organization
Contact information
Practice address
4351 PINNACLE STREET, PORT CHARLOTTE, FL 33980-2902
(941) 743-3665
(941) 629-2193
Mailing address
4351 PINNACLE STREET, PORT CHARLOTTE, FL 33980-2902
(941) 743-3665
(941) 629-2193
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086980500
—
FL
Enumeration date
03/19/2007
Last updated
03/31/2010
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