Healthcare Provider Details

I. General information

NPI: 1376729582
Provider Name (Legal Business Name): MED JETS NOW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5605 PORTAGE RD
PORTAGE MI
49002-1721
US

IV. Provider business mailing address

5605 PORTAGE RD
PORTAGE MI
49002-1721
US

V. Phone/Fax

Practice location:
  • Phone: 941-258-5073
  • Fax:
Mailing address:
  • Phone: 941-258-5073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MICHEAL PEAT
Title or Position: CEO/PRESIDENT
Credential:
Phone: 941-258-5073