Organization
DIVERSIFY RELIABLE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE R WINSTEAD-HAMPTON (OWNER/CEO)
(321) 398-2143
Entity
Organization
Contact information
Practice address
3425 BAYSIDE LAKES BLVD SE STE 103, PALM BAY, FL 32909-6867
(321) 398-2143
(321) 802-2302
Mailing address
3425 BAYSIDE LAKES BLVD SE STE 103, PALM BAY, FL 32909-6867
(321) 398-2143
(321) 802-2302
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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