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General NPI Number Information
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NPI Number | 1801967377
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Entity Type | Organization
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Legal Business Name | ADVANCED AIR AMBULANCE, CORP.
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12360 SW 132ND CT SUITE #208
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City | MIAMI
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State | FL
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Zip | 33186-6464
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Country | US
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Telephone | 305-232-7700
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Fax | 305-232-7734
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Provider Business Mailing Address
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Address Line | 12360 SW 132ND CT SUITE #208
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City | MIAMI
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State | FL
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Zip | 33186-6464
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Country | US
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Telephone | 305-232-7700
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Fax | 305-232-7734
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. AL MEYRELES
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Credential |
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Telephone | 305-232-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 000421
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License Number State | FL
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