Provider Demographics
NPI:1073584678
Name:ALL COUNTY AMBULANCE INC
Entity Type:Organization
Organization Name:ALL COUNTY AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUELLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-883-8338
Mailing Address - Street 1:6605 NW 74TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-2819
Mailing Address - Country:US
Mailing Address - Phone:305-883-8338
Mailing Address - Fax:305-888-3229
Practice Address - Street 1:4227 ST. LUCIE BLVD.
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34946-9137
Practice Address - Country:US
Practice Address - Phone:772-465-1111
Practice Address - Fax:772-466-1150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2708341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL410190100Medicaid
FLA0733Medicare ID - Type Unspecified