<Unavail>

LBN: Evolved Source Solutions Corp
<Unavail> is an health care organization with primary practice located at 8411 Heron Pond Dr Apt B110 , Lehigh Acres FL 33972-8548. The organization recently has 5 registered licenses in different health care specialties including Other Service Providers / Interpreter, Transportation Services / Secured Medical Transport (VAN), Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Transportation Services / Transportation Broker. Transportation Services / Non-emergency Medical Transport (VAN) is the primary health care specialty. Evolved Source Solutions Corp can be contacted via phone (239) 288-9470, or through Puentes, Miguel A via phone (239) 288-9470.

Contact Information

Primary practice address
8411 Heron Pond Dr Apt B110 Lehigh Acres FL 33972-8548
Phone: (239) 288-9470
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Puentes, Miguel A
Phone: (239) 288-9470

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Interpreter 171R00000X P52-541-79-263-0 Florida
Transportation Services / Secured Medical Transport (VAN) 343800000X P52-541-79-263-0 Florida
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X P52-541-79-263-0 Florida
Transportation Services / Private Vehicle 347C00000X P52-541-79-263-0 Florida
Transportation Services / Transportation Broker 347E00000X P52-541-79-263-0 Florida

Profile Details

NPI number 1619476801
LBN Legal business name Evolved Source Solutions Corp
DBA Doing business as <Unavail>
Authorized official Puentes, Miguel A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2018
Last updated Jun 16th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619476801 NPPES
Florida Other P532-541-79-263-0 FLLICENSE

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