Organization
NORTH FLORIDA EXECUTIVE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY BEAURINE ROGERS (OWNER)
(904) 274-1160
Entity
Organization
Contact information
Practice address
7831 GEORGIA JACK DR N, JACKSONVILLE, FL 32244-6825
(904) 274-1160
Mailing address
7831 GEORGIA JACK DR N, JACKSONVILLE, FL 32244-6825
(904) 274-1160
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1000048149
FL
Other
Enumeration date
07/29/2012
Last updated
07/29/2012
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