Organization
ELITE-STAR MEDICAL TRANSPORT LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALIMOHAMED MANJI (CHIEF OPERATIONS OFFICER)
(407) 927-1564
Entity
Organization
Contact information
Practice address
2910 W LAKE MARY BLVD STE 101, LAKE MARY, FL 32746
(407) 917-4548
Mailing address
2910 W LAKE MARY BLVD STE 101, LAKE MARY, FL 32746-3498
(407) 927-1492
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
08/04/2018
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