Organization
PREMIUM TRANSPORT CORP
Active
Other names
Premium Transport Corp
Organization subpart
No
Provider details
NPI number
Authorized official
YOLEXIS FUENTES (PRESIDENT)
(305) 905-8272
Entity
Organization
Contact information
Practice address
12210 SW 130TH ST, MIAMI, FL 33186-6217
(786) 634-8659
Mailing address
12210 SW 130TH ST, MIAMI, FL 33186-6217
(786) 634-8659
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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