MEDICARE: AAC-AIR AMBULANCE CARIBBEAN 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	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1700500493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAC-AIR AMBULANCE CARIBBEAN INC.

Provider Business Mailing Address
First Line	:	8203 LINDBERG BAY
Second Line	:
City	:	ST THOMAS
State	:	VI
Zip	:	00802-6000
Country	:	US
Telephone Number	:	340-715-7942
Fax Number	:

Provider Business Practice Location Address
First Line	:	4423 ESTATE MARYS FANCY STE 2
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-5244
Country	:	US
Telephone Number	:	340-715-7942
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRENDAN ANZALONE
Credential	:	DO
Telephone Number	:	340-715-7042

Provider Enumeration Date	:	09/27/2022
Last Update Date	:	09/27/2022

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