Organization
PRO MED TRANSIT
Active
Other names
PM Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL A PUENTES JR. EXECUTIVE (OPERATIONS)
(239) 288-9470
Entity
Organization
Contact information
Practice address
8411 HERON POND DR APT 110, LEHIGH ACRES, FL 33972-8549
(239) 288-9470
Mailing address
PO BOX 516, LEHIGH ACRES, FL 33970-0516
(239) 288-9470
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
P532-541-79-263-0
FL
Other
Enumeration date
12/10/2017
Last updated
12/10/2017
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