Organization
LIBERTY AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A ASSAF (PRESIDENT)
(904) 721-0008
Entity
Organization
Contact information
Practice address
1626 ATLANTIC UNIVERSITY CIR, JACKSONVILLE, FL 32207-2227
(904) 805-0293
(904) 724-0226
Mailing address
1626 ATLANTIC UNIVERSITY CIR, JACKSONVILLE, FL 32207-2227
(904) 805-0293
(904) 724-0226
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
002470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099501100
—
FL
Enumeration date
06/10/2005
Last updated
05/12/2011
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