Organization
AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY S WALLACE (PRESIDENT)
(904) 733-6600
Entity
Organization
Contact information
Practice address
5995 PHILIPS HWY, JACKSONVILLE, FL 32216-5916
(904) 733-6600
(904) 899-9024
Mailing address
5995 PHILIPS HWY, JACKSONVILLE, FL 32216-5916
(904) 733-6600
(904) 899-9024
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08813400
—
FL
Enumeration date
10/12/2006
Last updated
08/22/2020
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