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Individual

MARK ALLEN FITEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
120 COLEMAN ROAD, ADVANCE TRANSPORT LLC, WINTER HAVEN, FL 33880
(863) 295-7877
(863) 298-0689
Mailing address
120 COLEMAN ROAD, ADVANCE TRANSPORT LLC, WINTER HAVEN, FL 33880
(863) 295-7877
(863) 298-0689

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
04/27/2010
Last updated
04/27/2010
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