Organization
ANGELS MEDICAL TRANSPORTATION SERVICE LLC
Active
Organization
ANGELS MEDICAL TRANSPORTATION SERVICE LLC
Active
Other names
Angels Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT CIRO CLARK (MANAGER)
(352) 254-0159
Entity
Organization
Contact information
Practice address
16295 PALACKY ST, BROOKSVILLE, FL 34604-7821
(352) 797-2336
Mailing address
16295 PALACKY ST, BROOKSVILLE, FL 34604-7821
(352) 797-2336
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
06/19/2023
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