Healthcare Provider Details

I. General information

NPI: 1851785646
Provider Name (Legal Business Name): CONTINENTAL AEROMEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2015
Last Update Date: 03/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 BRICKELL BAY DR APT 2901
MIAMI FL
33131-2950
US

IV. Provider business mailing address

1111 BRICKELL BAY DR APT 2901
MIAMI FL
33131-2950
US

V. Phone/Fax

Practice location:
  • Phone: 619-607-7830
  • Fax:
Mailing address:
  • Phone: 619-607-7830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JESUS BIDALES
Title or Position: PRINCIPAL
Credential:
Phone: 619-607-7830