Organization
SERVICIOS Y REPARACIONES NAZARETH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNY JADALLA MARIA (OWNER)
(407) 734-5081
Entity
Organization
Contact information
Practice address
7200 LAKE ELLENOR DR STE 144, ORLANDO, FL 32809-5787
(407) 734-5081
Mailing address
7200 LAKE ELLENOR DR STE 144, ORLANDO, FL 32809-5787
(407) 734-5081
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/14/2018
Last updated
08/17/2018
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