NPI 1720071343

County of St Johns Board of County Commissioners

Organisation Land Ambulance St Augustine, FL

Practice location

Address: 3149 N Ponce de Leon Blvd Suite 9, St Augustine, FL 32084-8601
Phone: (904) 209-1700
Fax: (904) 209-1706

Authorised official

Name: Jeff Prevatt
Title: Assistant Fire Chief
Phone: (904) 209-1713

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 2664 (FL)

Other Ambulance providers in Florida →

Registry record

NPI: 1720071343
Entity type: Organization
NPI issued: 30 Aug 2005
Record last updated: 16 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.