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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