MEDICARE: 1 800 AMBULANCE, LLC

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	347E00000X	Transportation Broker		FL

General Provider Information

NPI Number	:	1831372796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1 800 AMBULANCE, LLC

Provider Business Mailing Address
First Line	:	6538 COLLINS AVE # 277
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4694
Country	:	US
Telephone Number	:	800-827-0745
Fax Number	:	904-395-9000

Provider Business Practice Location Address
First Line	:	6538 COLLINS AVE # 277
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4694
Country	:	US
Telephone Number	:	800-827-0745
Fax Number	:	904-395-9000

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JOSHUA HOOD
Credential	:
Telephone Number	:	800-827-0745

Provider Enumeration Date	:	12/13/2007
Last Update Date	:	12/13/2007

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