Organization
BLACK SWAN MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISELA MOLINA ROBLES (OWNER)
(813) 679-7823
Entity
Organization
Contact information
Practice address
39851 JERRY RD, ZEPHYRHILLS, FL 33540-7101
(813) 679-7823
Mailing address
39851 JERRY RD, ZEPHYRHILLS, FL 33540-7101
(813) 679-7823
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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