# FIREMED OF SOUTHEAST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PriorityOne EMS and Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013687177
- **Authorized official:** MR. ANTHONY C PERKINS IMMUNIZATION SPECIAL (PRESIDENT)
- **Authorized official phone:** (978) 230-9668

## Contact information

- **Practice address:** 2479 TRIANNA STREET, FIREMED SOUTHEAST, NORTH PORT, FL 34291
- **Practice address phone:** (941) 899-1430
- **Mailing address:** 2479 TRIANNA STREET, FIREMED SOUTHEAST, NORTH PORT, FL 34291
- **Mailing address phone:** (941) 899-1430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | NULL | Yes |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | — | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2021
- **Last updated:** 09/20/2021