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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