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NPI Code Detail

MEDICARE: LEOPARD TRANSPORT INC

MEDICARE: LEOPARD TRANSPORT 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
1343900000XNon-emergency Medical Transport (VAN)FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366701336
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEOPARD TRANSPORT INC
Provider Business Mailing Address
First Line : PO BOX 1959
Second Line :
City : OCALA
State : FL
Zip : 34478-1959
Country : US
Telephone Number : 352-812-1670
Fax Number : 352-369-6077
Provider Business Practice Location Address
First Line : 1848 NE JACKSONVILLE RD
Second Line :
City : OCALA
State : FL
Zip : 34470-4142
Country : US
Telephone Number : 352-812-1670
Fax Number : 352-369-6077
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. TRACY LEE LEFEVRE
Credential :
Telephone Number : 352-812-1670
Provider Enumeration Date : 05/11/2012
Last Update Date : 05/11/2012

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Directions to “LEOPARD TRANSPORT INC ” Practice Location

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