Individual
DIANA JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2238 MEARS PKWY, MARGATE, FL 33063-3758
(954) 326-4745
Mailing address
2238 MEARS PKWY, MARGATE, FL 33063-3758
(954) 326-4745
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
13442
FL
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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