| NPI | 1528230836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE VISACKI Officer 941-362-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance |
| Additional Taxonomies | 341600000X Ambulance (Licence: FL P04000029082) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |