| NPI | 1285951582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN JERE PELLETIER President / CEO 904-269-1397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: FL ALS 1612) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-10-07 |