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Organization

MEDICS AMBULANCE SERV D

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK BRUNING (PRESIDENT)
(303) 495-1220
Entity
Organization

Contact information

Practice address
378 SW 12TH AVE, DEERFIELD BEACH, FL 33442-3106
(954) 763-1776
(954) 312-1798
Mailing address
378 SW 12TH AVE, DEERFIELD BEACH, FL 33442-3106
(954) 763-1776
(954) 312-1798

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0617
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400085400
FL
Enumeration date
01/16/2007
Last updated
09/06/2011
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