Healthcare Provider Details

I. General information

NPI: 1467455485
Provider Name (Legal Business Name): AMERICAN AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 S PARK RD
HALLANDALE BEACH FL
33009-3814
US

IV. Provider business mailing address

PO BOX 221178
HOLLYWOOD FL
33022-1178
US

V. Phone/Fax

Practice location:
  • Phone: 954-925-2000
  • Fax: 305-888-3229
Mailing address:
  • Phone: 954-925-2000
  • Fax: 305-888-3229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number002582
License Number StateFL

VIII. Authorized Official

Name: MR. CHARLES MAYMON
Title or Position: VICE PRESIDENT
Credential:
Phone: 954-925-2000