Organization
COUNTY OF LIBERTY BOARD OF COUNTY COMMISSIONERS
Active
Other names
Liberty County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HILL (DIRECTOR)
(850) 643-2866
Entity
Organization
Contact information
Practice address
12503 NW VIRGINIA G WEAVER ST, BRISTOL, FL 32321-3340
(850) 643-5866
(850) 643-3499
Mailing address
PO BOX 399, BRISTOL, FL 32321-0399
(850) 643-5866
(850) 643-3499
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
002611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088121000
—
FL
01
—
A0202
BCBS OF FLORIDA
FL
Enumeration date
01/26/2007
Last updated
09/06/2012
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