5497 White Ave, Llc.
NPI #1265240014 in Virginia Gardens, Florida
Provider Information
- NPI Number
- 1265240014
- Entity Type
- Organization
- Organization Name
- 5497 White Ave, Llc.
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Dec 26, 2024
- Last Updated
- Dec 26, 2024
Practice Location
- Address
- 6135 NW 39TH ST
- City
- Virginia Gardens
- State
- Florida
- ZIP Code
- 33166-7012
- Phone
- (786) 202-3457
Authorized Official
- Name
- JORGE LUIS MORALES
- Title
- OWNER
- Phone
- (786) 202-3457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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