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NPI Code Detail

MEDICARE: SUNSHINE VITAL TRANSPORT LLC

MEDICARE: SUNSHINE VITAL TRANSPORT LLC
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
1342000000XTransportation Network Company

General Provider Information

NPI Number : 1447957543
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSHINE VITAL TRANSPORT LLC
Provider Business Mailing Address
First Line : 387 BRIER ROSE LN
Second Line :
City : ORANGE PARK
State : FL
Zip : 32065-2240
Country : US
Telephone Number : 407-443-0219
Fax Number :
Provider Business Practice Location Address
First Line : 387 BRIER ROSE LN
Second Line :
City : ORANGE PARK
State : FL
Zip : 32065-2240
Country : US
Telephone Number : 407-443-0219
Fax Number :
Authorized Official
Title or Position : DISPATCHER
Name : LARITZA ORCE
Credential :
Telephone Number : 407-443-0219
Provider Enumeration Date : 02/09/2023
Last Update Date : 02/09/2023

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Directions to “SUNSHINE VITAL TRANSPORT LLC ” Practice Location

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