Provider Demographics
NPI:1427387489
Name:AIR AMBULANCE WORLDWIDE LLC
Entity Type:Organization
Organization Name:AIR AMBULANCE WORLDWIDE LLC
Other - Org Name:AIR AMBULANCE WORLDWIDE, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:RODERICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-781-1198
Mailing Address - Street 1:35246 US HIGHWAY 19 N
Mailing Address - Street 2:210
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1931
Mailing Address - Country:US
Mailing Address - Phone:727-781-1198
Mailing Address - Fax:727-786-0897
Practice Address - Street 1:4311 GENERAL HOWARD DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-3533
Practice Address - Country:US
Practice Address - Phone:727-781-1198
Practice Address - Fax:727-786-0897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-21
Last Update Date:2019-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL04573416A0800X
3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport