Organization
EXPRESS AIR MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH FOX (CEO)
(800) 304-8094
Entity
Organization
Contact information
Practice address
200 2ND AVE S, 506, ST PETERSBURG, FL 33701-4313
(800) 304-8094
(866) 596-4830
Mailing address
200 2ND AVE S, 506, ST PETERSBURG, FL 33701-4313
(800) 304-8094
(866) 596-4830
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009139100
—
FL
Enumeration date
12/29/2016
Last updated
12/29/2016
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