MEDICARE: MR. CHRISTOPHER JUSTIN AMMANN NREMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146N00000X	Basic Emergency Medical Technician	EMT582222	FL

General Provider Information

NPI Number	:	1083417125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER JUSTIN AMMANN NREMT

Provider Business Mailing Address
First Line	:	2000 MAIN ST STE 100
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-5502
Country	:	US
Telephone Number	:	239-533-3911
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 MAIN ST STE 100
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-5502
Country	:	US
Telephone Number	:	239-533-3911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	03/31/2025

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