Organization
CARE SOURCE ONE TRANSPORTATION SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET HAMPTON (OWNER)
(954) 744-9534
Entity
Organization
Contact information
Practice address
2522 LINCOLN ST, HOLLYWOOD, FL 33020-3973
(954) 744-9534
Mailing address
P.O. BOX 7972 PINES BLVD #246025, PEMBROKE PINES, FL 33024
(954) 744-9534
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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