Organization
LIBERTY COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE H PIPPIN PARAMEDIC (DIRECTOR)
(850) 643-5866
Entity
Organization
Contact information
Practice address
12503 NW VIRGINIA G WEAVER ST, BRISTOL, FL 32321-0399
(850) 643-5866
(850) 643-2866
Mailing address
12503 NW VIRGINIA G WEAVER ST, BRISTOL, FL 32321-0399
(850) 643-5866
(850) 643-2866
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
002611
FL
Other
Enumeration date
06/29/2006
Last updated
08/22/2020
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