Organization Name: | FLORIDA KEYS AMBULANCE SERVICE, INC. |
NPI Number: | 1710238241 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD F BONILLA (OPERATIONS MANAGER, CEO.) |
Mailing Address: | 91421 Overseas Hwy Ste 10 Tavernier |
State: | FL US |
Postal Code: | 330702542 |
Phone Number: | 3054148136 |
Fax Number: | 3053965889 |
NPI Enumeration Date: | 09/24/2012 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | ALS4411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |