Healthcare Provider Details

I. General information

NPI: 1992959944
Provider Name (Legal Business Name): 1800 AMBULANCE ,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 11/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 BAY DR
MIAMI BEACH FL
33141-4719
US

IV. Provider business mailing address

1701 BAY DR
MIAMI BEACH FL
33141-4719
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-4006
  • Fax: 904-395-4000
Mailing address:
  • Phone: 305-662-4006
  • Fax: 904-395-3000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number10001608
License Number StateFL

VIII. Authorized Official

Name: MR. JOSH HOOD
Title or Position: OWNER
Credential:
Phone: 305-662-4006