Organization
PROFESSIONAL MEDICAL TRANSPORTATION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. XIOMARA PAZOS (ADMINISTRATOR)
(305) 825-8761
Entity
Organization
Contact information
Practice address
7880 W 20TH AVE, SUITE 28, HIALEAH, FL 33016-1896
(305) 825-8761
(305) 825-8762
Mailing address
7880 W 20TH AVE, SUITE 28, HIALEAH, FL 33016-1896
(305) 825-8761
(305) 825-8762
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410123500
—
FL
Enumeration date
08/22/2008
Last updated
08/22/2008
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