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Organization

MEDFLEET, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW G WILLIAMS (GENERAL MANAGER)
(727) 849-6849
Entity
Organization

Contact information

Practice address
5334 SUNSET RD, NEW PORT RICHEY, FL 34652-1738
(727) 849-6849
(727) 848-8475
Mailing address
5334 SUNSET RD, NEW PORT RICHEY, FL 34652-1738
(727) 849-6849
(727) 848-8475

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
000618
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400010200
FL
01
500255
AETNA PROVIDER NO
FL
01
590007591
RAIL ROAD MEDICARE PROV N
FL
01
N0565
WELLCARE
FL
Enumeration date
11/30/2005
Last updated
04/19/2012
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