Organization
TEAM4 TRANSPORT LLC
Active
Organization
TEAM4 TRANSPORT LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TERESA HORLADOR BLIVEN OCCUPATIONAL THERAPI (MANAGER)
(386) 383-1400
Entity
Organization
Contact information
Practice address
911 E FAIRBAIRN DR, DELTONA, FL 32725-6955
(386) 383-1400
(386) 753-5071
Mailing address
911 E FAIRBAIRN DR, DELTONA, FL 32725-6955
(386) 383-1400
(386) 753-5071
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
20019
FL
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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