Provider Demographics
NPI:1689064859
Name:CLAYPOOL, MICHAEL (EMT-B)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:CLAYPOOL
Suffix:
Gender:M
Credentials:EMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 SW MONROE CIR N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-1318
Mailing Address - Country:US
Mailing Address - Phone:727-656-1214
Mailing Address - Fax:
Practice Address - Street 1:201 SW MONROE CIR N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-1318
Practice Address - Country:US
Practice Address - Phone:727-656-1214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker