Organization
COASTAL AMBULANCE LLC
Active
Other names
Coastal Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLASTIMIL SMETKA M.D. (OWNER/MEDICAL DIRECTOR)
(888) 935-5525
Entity
Organization
Contact information
Practice address
415 ROBERTSON BLVD STE B, WALTERBORO, SC 29488-5713
(888) 935-5525
Mailing address
478 CESSNA AVE, CHARLESTON, SC 29407-2245
(404) 695-8420
(864) 643-2485
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
295
SC
Other
Enumeration date
11/26/2011
Last updated
08/03/2012
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