Organization
GULFSTREAM AMBULANCE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIA EPSHTEYN (PRESIDENT)
(215) 677-3625
Entity
Organization
Contact information
Practice address
11301 NORCOM RD, PHILADELPHIA, PA 19154-2311
(215) 677-3625
(215) 677-3016
Mailing address
11301 NORCOM RD, PHILADELPHIA, PA 19154-2311
(215) 677-3625
(215) 677-3016
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04103
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000940000
AMBULANCE PROVIDER
PA
05
—
101279439
—
PA
Enumeration date
03/26/2007
Last updated
11/14/2012
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