MEDICARE: AIR AMBULANCE PROFESSIONALS

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	3416A0800X	Air Ambulance	0453	FL

General Provider Information

NPI Number	:	1477728509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIR AMBULANCE PROFESSIONALS

Provider Business Mailing Address
First Line	:	1535 S PERIMETER RD HNGR 36B
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-7105
Country	:	US
Telephone Number	:	954-491-0555
Fax Number	:	954-491-6114

Provider Business Practice Location Address
First Line	:	1535 SOUTH PERIMETER ROAD HNGR 36B
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-7105
Country	:	US
Telephone Number	:	954-491-0555
Fax Number	:	954-491-6114

Authorized Official
Title or Position	:	DIRECTOR OF QUALITY ASSURANCE
Name	:	MRS. DEBRA J. WEISZ
Credential	:	RN
Telephone Number	:	954-491-0555

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	04/29/2008

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