Organization
RANDLE EASTERN AMBULANCE SERVICE INC
Active
Other names
American Medical Response
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOSEPH DORN (CHIEF ADMINISTRATIVE OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
12600 NW 107TH AVE, MEDLEY, FL 33178-3121
(305) 718-6400
(305) 640-1557
Mailing address
PO BOX 402079, ATLANTA, GA 30384-2079
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088101500
—
FL
Enumeration date
05/10/2006
Last updated
09/16/2025
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