Organization
ROMAN DESTINATION TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYLE W ROMAN MASTER OF EDUCATION (GENERAL MANAGER/AGENT/OWNER)
(904) 891-1828
Entity
Organization
Contact information
Practice address
1499 GUARDIAN DR, JACKSONVILLE, FL 32221-8028
(904) 891-1828
(904) 580-5197
Mailing address
1499 GUARDIAN DR, JACKSONVILLE, FL 32221-8028
(904) 891-1828
(904) 580-5197
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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