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General NPI Number Information
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NPI Number | 1669957726
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Entity Type | Organization
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Legal Business Name | FLORIDA MED TRANSPORTATION CORP
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 4542 S SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32822-2408
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Country | US
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Telephone | 347-935-6121
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Fax | 407-264-8064
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Provider Business Mailing Address
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Address Line | 4542 S SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32822-2408
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Country | US
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Telephone | 347-935-6121
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Fax | 407-264-8064
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE R DE LA CRUZ
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Credential |
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Telephone | 347-935-6121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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