Evolved Source Solutions Corp
Non-emergency Medical Transport (VAN) in Lehigh Acres, FL. Organization (NPI-2).
NPI number1619476801
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1619476801
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolved Source Solutions Corp
- Organization subpart
- No
- Enumeration date
- Feb 2, 2018
- Last updated
- Jun 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | P52-541-79-263-0 | FL | Yes |
| 171R00000X | Interpreter | P52-541-79-263-0 | FL | |
| 343800000X | Secured Medical Transport (VAN) | P52-541-79-263-0 | FL | |
| 347C00000X | Private Vehicle | P52-541-79-263-0 | FL | |
| 347E00000X | Transportation Broker | P52-541-79-263-0 | FL |
Other names
- Ess (Doing Business As)
Practice location
8411 Heron Pond Dr Apt B110Lehigh Acres, FL 33972-8548
Phone 239-288-9470
Mailing address
Po Box 516Lehigh Acres, FL 33970-0516
Phone 239-288-9470
Authorized official
Miguel A Puentes
President
2392889470
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