Organization
TUCKER BOMB TRANSPORT INC
Active
Organization
TUCKER BOMB TRANSPORT INC
Active
Other names
Freedom Wheels Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTINA MARIE BRANT NEMT PROVIDER (GM/SHAREHOLDER)
(612) 401-6968
Entity
Organization
Contact information
Practice address
11701 LADY ANNE CIR, CAPE CORAL, FL 33991-7504
(239) 200-7927
(239) 205-8878
Mailing address
22364 LARAMORE AVE, PORT CHARLOTTE, FL 33952-4506
(612) 401-6968
(239) 205-8878
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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