Healthcare Provider Details
I. General information
NPI: 1700500493
Provider Name (Legal Business Name): AAC-AIR AMBULANCE CARIBBEAN INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2022
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4423 ESTATE MARYS FANCY STE 2
CHRISTIANSTED VI
00820-5244
US
IV. Provider business mailing address
8203 LINDBERG BAY
ST THOMAS VI
00802-6000
US
V. Phone/Fax
- Phone: 340-715-7942
- Fax:
- Phone: 340-715-7942
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRENDAN
ANZALONE
Title or Position: PRESIDENT
Credential: DO
Phone: 340-715-7042