Organization
GEORGES TRANSPORT
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE GLENWOOD TORRES I PRES (OWNER/ OPERATOR)
(386) 456-0640
Entity
Organization
Contact information
Practice address
705 W MINNESOTA AVE, ORANGE CITY, FL 32763-2104
(386) 456-0640
(386) 456-0640
Mailing address
705 W MINNESOTA AVE, ORANGE CITY, FL 32763-2104
(386) 456-0640
(386) 456-0640
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
T620-307-46-290-0
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681117596
—
FL
05
—
681117598
—
FL
Enumeration date
02/24/2011
Last updated
02/24/2011
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