Organization
AMBITRANS MEDICAL TRANSPORT , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN J. SKAVRONECK (CHIEF OPERATING OFFICER)
(941) 613-6427
Entity
Organization
Contact information
Practice address
4351 PINNACLE ST, PORT CHARLOTTE, FL 33980-2902
(941) 743-3665
(941) 629-2193
Mailing address
4351 PINNACLE ST, PORT CHARLOTTE, FL 33980-2902
(941) 743-3665
(941) 629-7314
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
2639
FL
3416L0300X
Land Ambulance
Primary
ALS0804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400029300
—
FL
05
—
N176070
—
FL
Enumeration date
06/19/2006
Last updated
09/14/2011
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