Healthcare Provider Details
I. General information
NPI: 1164542825
Provider Name (Legal Business Name): TOTAL MARKETING TECHNOLOGIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2007
Last Update Date: 08/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25591 TECHNOLOGY BLVD UNIT B
PUNTA GORDA FL
33950-4701
US
IV. Provider business mailing address
25591 TECHNOLOGY BLVD UNIT B
PUNTA GORDA FL
33950-4701
US
V. Phone/Fax
- Phone: 800-880-9451
- Fax: 888-558-5748
- Phone: 800-880-9451
- Fax: 888-558-5748
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416A0800X |
| Taxonomy | Air Ambulance |
| License Number | 471 |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
MICHAEL
A
PEAT
Title or Position: PRESIDENT
Credential: EMT-S
Phone: 800-880-9451