Provider Demographics
NPI:1437706959
Name:1ST N.E.M.T., LLC
Entity Type:Organization
Organization Name:1ST N.E.M.T., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:DUBAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-444-5692
Mailing Address - Street 1:1025 S BEACH ST APT 151
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-6278
Mailing Address - Country:US
Mailing Address - Phone:386-444-5692
Mailing Address - Fax:
Practice Address - Street 1:1025 S BEACH ST APT 151
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-6278
Practice Address - Country:US
Practice Address - Phone:386-444-5692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)