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Organization

SEMINOLE TRIBE OF FLORIDA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY JOHNS (EXECUTIVE ADMINISTRATIVE OFFICER)
(954) 966-6300
Entity
Organization

Contact information

Practice address
HC 61 BOX 49, CLEWISTON, FL 33440-9502
(863) 983-2150
(863) 983-8045
Mailing address
25640 NETWORK PL, CHICAGO, IL 60673-1256
(305) 459-0667
(305) 428-5380

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
3416L0300X
Land Ambulance
Primary
3467
FL

Other

Enumeration date
08/30/2006
Last updated
10/23/2013
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