Organization
ETTRANSPORTATION
Active
Other names
ETTRANSPORTATION
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY OUTLER (OWNER)
(904) 924-0985
Entity
Organization
Contact information
Practice address
6804 NORWOOD AVE, JACKSONVILLE, FL 32208-4470
(904) 924-0985
(904) 363-8846
Mailing address
6804 NORWOOD AVENUE, JACKSONVILLE, FL 32208
(904) 924-0985
(904) 363-8846
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2074010000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088503700
—
FL
Enumeration date
06/03/2008
Last updated
06/03/2008
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