Organization
MY GUARDIAN ANGEL TRANSPORT SERVICES CORP
Active
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
Update your record
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