NPI 1003407628

Breakthrough Med Transport LLC

Organisation Non-emergency Medical Transport (VAN) Mount Dora, FL

Practice location

Address: 2110 N Donnelly St STE 500, Mount Dora, FL 32757-6968
Phone: (321) 362-4176
Fax: (321) 256-5176
Mailing address: PO Box 639, Plymouth, FL 32768-0639

Authorised official

Name: Stephanie McShan
Title: Owner/ Provider
Phone: (407) 616-1530

Registered specialties (3)

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X

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Private Vehicle

Transportation Services Taxonomy 347C00000X

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Transportation Broker

Transportation Services Taxonomy 347E00000X

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Registry record

NPI: 1003407628
Entity type: Organization
NPI issued: 27 Jan 2021
Record last updated: 26 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.