Organization
SAFETYDESTINATION LLC
Active
Other names
SAFETYDESTINATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON COSTA JR. GM (MANAGER)
(305) 772-4947
Entity
Organization
Contact information
Practice address
19473 NW 87TH CT, HIALEAH, FL 33018-6216
03057724947
Mailing address
19473 NW 87TH CT, HIALEAH, FL 33018-6216
03057724947
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L16000033470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-15202010
NEMT
FL
Enumeration date
07/20/2017
Last updated
06/16/2018
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