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Organization

CROWN MEDICAL TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FIDAHUSSEIN KHAKI (CEO)
(407) 221-0792
Entity
Organization

Contact information

Practice address
210 SPRINGVIEW COMMERCE DR STE 120, DEBARY, FL 32713-4845
(386) 516-6968
(386) 742-0186
Mailing address
210 SPRINGVIEW COMMERCE DR STE 120, DEBARY, FL 32713-4845
(386) 516-6968
(386) 742-0186

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/01/2018
Last updated
06/01/2018
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