# RANDLE EASTERN AMBULANCE SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** American Medical Response
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306896790
- **Authorized official:** TIMOTHY JOSEPH DORN (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (833) 703-2294

## Contact information

- **Practice address:** 12600 NW 107TH AVE, MEDLEY, FL 33178-3121
- **Practice address phone:** (305) 718-6400
- **Practice address fax:** (305) 640-1557
- **Mailing address:** PO BOX 402079, ATLANTA, GA 30384-2079
- **Mailing address phone:** (800) 913-9106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |
| 3416L0300X | Land Ambulance | — | — | — |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 09/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 088101500 | — | FL |