Organization
PROMEDICAL TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE TAVERAS (OWNER)
(904) 314-9859
Entity
Organization
Contact information
Practice address
4578 BRANDY OAK CT, JACKSONVILLE, FL 32257-8818
(904) 314-9859
(904) 325-7018
Mailing address
4578 BRANDY OAK CT, JACKSONVILLE, FL 32257-8818
(787) 697-9339
(904) 325-7018
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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