Organization
ICARE MEDICAL TRANSPORTATION LLC
Active
Organization
ICARE MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HISHAM HERZALLA (MANAGER)
(954) 404-3649
Entity
Organization
Contact information
Practice address
55 DELTONA BLVD, SAINT AUGUSTINE, FL 32086-7020
(904) 417-8523
Mailing address
55 DELTONA BLVD, SAINT AUGUSTINE, FL 32086-7020
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
FL
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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