Individual
MR. JESSIE LEE WINDOM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1181 CAVENDER CREEK RD, MINNEOLA, FL 34715-7675
(352) 933-5711
Mailing address
1181 CAVENDER CREEK RD, MINNEOLA, FL 34715-7675
(352) 933-5711
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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