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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