FLORIDA KEYS AMBULANCE SERVICE, INC. (NPI# 1710238241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710238241 |
| Entity Type | Organization |
| Organization Name | FLORIDA KEYS AMBULANCE SERVICE, INC. |
| Other Organization Name | FLORIDA KEYS AMBULANCE |
| Practice Address |
91421 Overseas Hwy Ste 10 Tavernier FL 33070-2542 |
| Mailing Address |
Po Box 1259 Tavernier FL 33070-1259 |
| Practice Telephone | 3054148136 |
| Practice Fax Number | 3053965889 |
| Mailing Telephone | 3054148136 |
| Mailing Fax Number | 3053965889 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | MR. EDWARD F BONILLA (OPERATIONS MANAGER, CEO.) |
| Authorized Official Telephone | 3054148136 |
| Authorized Official Credential | EMT-P, CCT-P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
ALS4411 | FL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE OF FLORIDA DEPARTMENT OF HEALTH | ALS4411 | 01 |
| Other Name | Type Code |
|---|---|
| Florida Keys Ambulance | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA KEYS AMBULANCE SERVICE, INC. | 91421 Overseas Hwy #10, Tavernier, FL 33070-2542 |
| Street Address |
91421 OVERSEAS HWY STE 10 |
| City | TAVERNIER |
| State | FL |
| Zip Code | 33070-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1104324524 | Alliance Healthcare Network Inc | Case Management | 92330 Overseas Hwy Ste 106, Tavernier, FL 33070 | 2018-01-31 |
| 1821335639 | Jacqueline Gavin | Nurse Practitioner | 91500 Overseas Highway, Tavernier, FL 33070 | 2013-01-14 |
| 1417131913 | Keys Physician Services Pa | Internal Medicine | 91500 O/s Hwy, Mariners Hospital, Tavernier, FL 33070 | 2007-12-20 |
| 1558553479 | Baptist Health Medical Group Upper Keys, LLC | Specialist | 91550 Overseas Highway, Suite 215, Tavernier, FL 33070 | 2007-08-14 |
| 1003037532 | John L Izanec Dds Pa | Dentist | 91750 Overseas Hwy, Tavernier, FL 33070 | 2007-05-01 |
| 1669591277 | Erica R Lieberman -garrett | Chiropractor | 90290 Overseas Highway, Suite 110, Tavernier, FL 33070 | 2007-03-28 |
| 1356362727 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 92100 Overseas Hwy, Tavernier, FL 33070 | 2006-07-21 |
| 1376580712 | Plantation Key Convalescent Center Inc | Skilled Nursing Facility | 48 High Point Road, Tavernier, FL 33070 | 2006-06-02 |
| 1669983680 | Epione Physician Services Inc | Voluntary or Charitable | 91500 Overseas Hwy, Tavernier, FL 33070 | 2017-10-17 |
| Find all providers in zip 33070 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1841763984 | Kindred Care Ems LLC | Ambulance | 6824 Norwood Ave, Jacksonville, FL 32208-4471 | 2019-01-10 |
| 1790262103 | Go Logix LLC | Ambulance | 911 S Woodrow Wilson St Ste 7, Plant City, FL 33563-9301 | 2018-07-27 |
| 1992208565 | First 2 Aid Ems, Inc | Ambulance | 1006 Windmill Grove Cir, Orlando, FL 32828-7238 | 2018-03-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.