MEDICARE: G&J USA AUTO BROKERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1164269320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G&J USA AUTO BROKERS INC

Provider Business Mailing Address
First Line	:	1229 SE 22ND AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1945
Country	:	US
Telephone Number	:	239-443-7403
Fax Number	:	239-443-4516

Provider Business Practice Location Address
First Line	:	11390 PALM BEACH BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-5921
Country	:	US
Telephone Number	:	239-443-7403
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GUILLERMO DE SANTIS
Credential	:
Telephone Number	:	239-443-7403

Provider Enumeration Date	:	07/13/2024
Last Update Date	:	07/13/2024

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Directions to “G&J USA AUTO BROKERS INC ” Practice Location

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