Organization
MY GUARDIAN ANGEL TRANSPORT SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON VILLANUEVA JR. (PRESIDENT)
(239) 822-0081
Entity
Organization
Contact information
Practice address
5237 SUMMERLIN COMMONS BLVD, FORT MYERS, FL 33907-2158
(239) 822-0081
(941) 882-8267
Mailing address
5237 SUMMERLIN COMMONS BLVD, FORT MYERS, FL 33907-2158
(239) 822-0081
(941) 882-8267
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1002235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002235
MEDICALTRANSPORT SERVICES
FL
Enumeration date
07/02/2012
Last updated
07/02/2012
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