Organization
ALL SOURCE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA SMITH (OWNER)
(770) 865-9340
Entity
Organization
Contact information
Practice address
714 S INGRAHAM AVE, LAKELAND, FL 33801-5602
(770) 865-9340
Mailing address
PO BOX 2544, LAKELAND, FL 33806-2544
(770) 865-9340
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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