Provider Demographics
NPI:1164542825
Name:TOTAL MARKETING TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:TOTAL MARKETING TECHNOLOGIES, INC.
Other - Org Name:AIR AMBULANCE NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEAT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-S
Authorized Official - Phone:800-880-9451
Mailing Address - Street 1:25591 TECHNOLOGY BLVD
Mailing Address - Street 2:UNIT B
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-4701
Mailing Address - Country:US
Mailing Address - Phone:800-880-9451
Mailing Address - Fax:888-558-5748
Practice Address - Street 1:25591 TECHNOLOGY BLVD
Practice Address - Street 2:UNIT B
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-4701
Practice Address - Country:US
Practice Address - Phone:800-880-9451
Practice Address - Fax:888-558-5748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4713416A0800X
347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1164542825Medicaid
FLA0478OtherBLUE CROSS BLUE SHIELD
NJ0215058Medicaid
OR500610425Medicaid
KY5500100200Medicaid