1912299082 NPI number — AMERICAN AMBULANCE SERVICE, INC.

Table of content: DR. JENNIFER SULOUFF RIPLEY PH.D. (NPI 1417964701)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912299082 NPI number — AMERICAN AMBULANCE SERVICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN AMBULANCE SERVICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912299082
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/09/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 221178
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOLLYWOOD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33022-1178
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-925-2000
Provider Business Mailing Address Fax Number:
305-357-9324

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4227 SAINT LUCIE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT PIERCE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34946-9000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-743-8080
Provider Business Practice Location Address Fax Number:
305-888-3229
Provider Enumeration Date:
05/09/2011

Additional Information

Authorized Official

Authorized Official Last Name:
ARGUELLES
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
305-883-8338

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  3127 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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