# SEACOAST AMBULANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497308563
- **Authorized official:** JUSTIN LEE PETRONELLI PARAMEDIC (MANAGER)
- **Authorized official phone:** (561) 542-4233

## Contact information

- **Practice address:** 69 VENTURE DR, DOVER, NH 03820-5929
- **Practice address phone:** (561) 542-4233
- **Mailing address:** 1 NICHOLAS CIR, DOVER, NH 03820-6011
- **Mailing address phone:** (561) 542-4233

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2019
- **Last updated:** 07/18/2019