Jackson Transportation
Non-emergency Medical Transport (VAN) in Port Charlotte, FL. Organization (NPI-2).
NPI number1619926458
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619926458
- Entity type
- Organization (NPI-2)
- Legal business name
- Jackson Transportation
- Organization subpart
- No
- Enumeration date
- May 9, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
20255 Macon LnPort Charlotte, FL 33952-3825
Phone 941-255-0642
Mailing address
20255 Macon LnPort Charlotte, FL 33952-3825
Phone 941-255-0642
Authorized official
Patrick Ferdinand Jackson
President
9412550642
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