Healthcare Provider Details

I. General information

NPI: 1093166449
Provider Name (Legal Business Name): RELIABLE MEDICAL RESPONSE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 06/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1534 BLUE MAGNOLIA RD
BRANDON FL
33510-4024
US

IV. Provider business mailing address

1534 BLUE MAGNOLIA RD
BRANDON FL
33510-4024
US

V. Phone/Fax

Practice location:
  • Phone: 813-759-3283
  • Fax:
Mailing address:
  • Phone: 813-759-3283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number5250-675
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number5250-675
License Number StateFL

VIII. Authorized Official

Name: MR. DAVID ORSBURN HUGHES JR.
Title or Position: MANAGING MEMBER
Credential: NREMT
Phone: 813-759-3283