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Organization

INTENSIVE AIR, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLIFTON E. CAROTHERS (PRESIDENT)
(941) 926-2490
Entity
Organization

Contact information

Practice address
8830 S TAMIAMI TRL, SUITE 100, SARASOTA, FL 34238-3110
(941) 926-2490
(941) 536-2006
Mailing address
8830 S TAMIAMI TRL, SUITE 100, SARASOTA, FL 34238-3110
(941) 926-2490
(941) 536-2006

Taxonomy

Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
3043
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001472600
FL
05
003114725
CT
05
02073572
NY
05
094930200
MN
05
100817540A
OK
05
1010713
VT
05
123082400
WY
05
1841341013
IA
05
1841341013
MT
05
1841341013
UT
05
200263030
IN
05
200422840A
KS
05
22638571
CO
05
2768394
OH
05
337504800
MD
05
3406990
NC
05
431795400
ME
05
4582541
TN
05
4691392
MI
05
501610
AZ
05
701589134A
GA
05
7100054690
KY
05
808096900
ID
05
8335401
NJ
05
9058371
WA
Enumeration date
01/15/2007
Last updated
06/18/2010
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