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Organization

MEDICAL HOPPER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESTER CARRERO (GM)
(386) 774-6337
Entity
Organization

Contact information

Practice address
1698 DIANE TER, DELTONA, FL 32725-4530
(386) 385-1903
Mailing address
PO BOX 5295, DELTONA, FL 32728-5295

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
05/13/2016
Last updated
12/14/2018
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