Healthcare Provider Details

I. General information

NPI: 1386469682
Provider Name (Legal Business Name): PRETTY GYRL LOGISTICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2024
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4295 SHERMAN HILLS PKWY N
JACKSONVILLE FL
32210-0456
US

IV. Provider business mailing address

4295 SHERMAN HILLS PKWY N
JACKSONVILLE FL
32210-0456
US

V. Phone/Fax

Practice location:
  • Phone: 229-376-3932
  • Fax:
Mailing address:
  • Phone: 229-376-3932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: AMIE-REBECCA MCLEAN
Title or Position: OWNER
Credential:
Phone: 229-376-3932