Organization
LIFEGUARD AIR AMBULANCE, INC
Active
Organization
LIFEGUARD AIR AMBULANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY FLAKE (FLIGHT COORDINATOR)
(850) 473-6776
Entity
Organization
Contact information
Practice address
4211 JERRY L MAYGARDEN RD, PENSACOLA, FL 32504-5029
(850) 473-6776
(850) 473-6772
Mailing address
PO BOX 487, GULF BREEZE, FL 32562-0487
(850) 473-6776
(850) 473-6772
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
150709
FL
Other
Enumeration date
10/17/2006
Last updated
07/10/2012
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