Provider Demographics
NPI:1285032870
Name:M.C. BLESSED TRANSPORTATION SERVICES, INC.
Entity Type:Organization
Organization Name:M.C. BLESSED TRANSPORTATION SERVICES, INC.
Other - Org Name:MC BLESSED TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:L
Authorized Official - Last Name:HERNANDO
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:813-817-1661
Mailing Address - Street 1:221 LAKE BROOK CIRCLE SUITE 108
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6158
Mailing Address - Country:US
Mailing Address - Phone:813-817-1661
Mailing Address - Fax:
Practice Address - Street 1:221 LAKE BROOK CIRCLE SUITE 108
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6158
Practice Address - Country:US
Practice Address - Phone:813-817-1661
Practice Address - Fax:813-662-4089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10275.CH-V341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance