Healthcare Provider Details

I. General information

NPI: 1760587604
Provider Name (Legal Business Name): AMERICARE ALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11301 E US HIGHWAY 92
SEFFNER FL
33584-3350
US

IV. Provider business mailing address

11301 E US HIGHWAY 92
SEFFNER FL
33584-3350
US

V. Phone/Fax

Practice location:
  • Phone: 813-930-0911
  • Fax: 813-936-8341
Mailing address:
  • Phone: 813-930-0911
  • Fax: 813-936-8341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2612
License Number StateFL

VIII. Authorized Official

Name: MR. DANIEL W SMITH
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 813-930-0911