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NPI Code Detail

MEDICARE: M & M TRANSPORT CARE

MEDICARE: M & M TRANSPORT CARE
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)

General Provider Information

NPI Number : 1770321036
Entity Type Code : Organization
Provider Name (Legal Business Name) : M & M TRANSPORT CARE
Provider Business Mailing Address
First Line : 6631 CRESCENT LAKE DR
Second Line :
City : LAKELAND
State : FL
Zip : 33813-4653
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6631 CRESCENT LAKE DR
Second Line :
City : LAKELAND
State : FL
Zip : 33813-4653
Country : US
Telephone Number : 863-378-7445
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DELVIS MIRANDA
Credential :
Telephone Number : 863-378-7445
Provider Enumeration Date : 07/19/2024
Last Update Date : 07/19/2024

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Directions to “M & M TRANSPORT CARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.