MEDICARE: AMERICAN AMBULANCE SERVICE, INC.

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	341600000X	Ambulance	002582	FL

General Provider Information

NPI Number	:	1467455485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN AMBULANCE SERVICE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 221178
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33022-1178
Country	:	US
Telephone Number	:	954-925-2000
Fax Number	:	305-888-3229

Provider Business Practice Location Address
First Line	:	2570 S PARK RD
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-3814
Country	:	US
Telephone Number	:	954-925-2000
Fax Number	:	305-888-3229

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. CHARLES MAYMON
Credential	:
Telephone Number	:	954-925-2000

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/22/2020

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