Healthcare Provider Details

I. General information

NPI: 1508381237
Provider Name (Legal Business Name): GULF AVIATION SERVICES II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SW MONROE CIR N
ST PETERSBURG FL
33703-1318
US

IV. Provider business mailing address

201 SW MONROE CIR N
ST PETERSBURG FL
33703-1318
US

V. Phone/Fax

Practice location:
  • Phone: 727-656-1214
  • Fax: 866-764-8843
Mailing address:
  • Phone: 727-656-1214
  • Fax: 866-764-8843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL CLAYPOOL
Title or Position: OWNER
Credential:
Phone: 727-656-1214