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General NPI Number Information
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NPI Number | 1003609355
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Entity Type | Organization
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Legal Business Name | FLORIDA KEYS AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 91421 OVERSEAS HWY STE 102
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City | TAVERNIER
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State | FL
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Zip | 33070-2542
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Country | US
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Telephone | 305-414-8136
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1259
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City | TAVERNIER
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State | FL
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Zip | 33070-1259
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Country | US
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Telephone | 305-414-8136
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | EDWARD FRANCISCO BONILLA
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Credential |
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Telephone | 305-414-8136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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