Organization
FIREMED OF SOUTHEAST, LLC
Active
Other names
PriorityOne EMS and Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY C PERKINS IMMUNIZATION SPECIAL (PRESIDENT)
(978) 230-9668
Entity
Organization
Contact information
Practice address
2479 TRIANNA STREET, FIREMED SOUTHEAST, NORTH PORT, FL 34291
(941) 899-1430
Mailing address
2479 TRIANNA STREET, FIREMED SOUTHEAST, NORTH PORT, FL 34291
(941) 899-1430
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
305S00000X
Point of Service
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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