Healthcare Provider Details

I. General information

NPI: 1750778601
Provider Name (Legal Business Name): AIRAMEDIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2015
Last Update Date: 04/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1956 CAROLINA AVE NE
ST PETERSBURG FL
33703-3410
US

IV. Provider business mailing address

1956 CAROLINA AVE NE
ST PETERSBURG FL
33703-3410
US

V. Phone/Fax

Practice location:
  • Phone: 727-528-8496
  • Fax: 888-762-9665
Mailing address:
  • Phone: 727-528-8496
  • Fax: 888-762-9665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. ROBYNN LONGENBAUGH
Title or Position: A/R MANAGER
Credential:
Phone: 928-368-6799