Organization
WHITE GLOVE TRANSIT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC VERSHAN BROWN (OWNER)
(877) 312-2198
Entity
Organization
Contact information
Practice address
910 S 8TH ST, FERNANDINA BEACH, FL 32034-3744
(877) 312-2198
Mailing address
910 S 8TH ST, FERNANDINA BEACH, FL 32034-3744
(877) 312-2198
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B650178780990
DRIVERS LICENSE
FL
Enumeration date
04/20/2020
Last updated
04/20/2020
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