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General NPI Number Information
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NPI Number | 1699980599
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Entity Type | Organization
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Legal Business Name | SEA BREEZE TRANSPORTATION, INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 846 N COCOA BLVD SUITE A
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City | COCOA
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State | FL
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Zip | 32922-7544
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Country | US
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Telephone | 321-634-5099
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 540064
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City | MERRITT ISLAND
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State | FL
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Zip | 32954-0064
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Country | US
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Telephone | 321-634-5099
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. COREY STEVEN SAUSSY
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Credential |
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Telephone | 321-634-5099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | FL
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