Organization
FEDERAL MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR AZNAUROV (CEO)
(216) 359-1173
Entity
Organization
Contact information
Practice address
3439 W BRAINARD RD STE 254, WOODMERE, OH 44122-4273
(216) 359-1173
Mailing address
PO BOX 19354, CLEVELAND, OH 44119-0354
(216) 359-1173
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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