MEDICARE: SAINT-MICHEL TRANSPORTATION LL

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	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1306544267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT-MICHEL TRANSPORTATION LL

Provider Business Mailing Address
First Line	:	2727 WOOD STORK TRL FL 32073
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-1665
Country	:	US
Telephone Number	:	904-600-9813
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 WOOD STORK TRL FL 32073
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-1665
Country	:	US
Telephone Number	:	904-600-9813
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARIE M MICHEL
Credential	:
Telephone Number	:	904-600-9813

Provider Enumeration Date	:	02/21/2023
Last Update Date	:	02/21/2023

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