Provider Demographics
NPI:1417006792
Name:AMERICAN AEROVAC INC
Entity Type:Organization
Organization Name:AMERICAN AEROVAC INC
Other - Org Name:AMERICAN AEROVAC AIRCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KEYSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-252-2740
Mailing Address - Street 1:PO BOX 291033
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33329-1033
Mailing Address - Country:US
Mailing Address - Phone:800-423-5993
Mailing Address - Fax:954-252-2744
Practice Address - Street 1:5400 SOUTH UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 407B
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-5311
Practice Address - Country:US
Practice Address - Phone:800-423-5993
Practice Address - Fax:954-252-2744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNEMS0000009985341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance