Provider Demographics
NPI:1710166822
Name:AERO AMBULANCE INTERNATIONAL, INC
Entity Type:Organization
Organization Name:AERO AMBULANCE INTERNATIONAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FLIGHT COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-351-0757
Mailing Address - Street 1:1511 E COMMERCIAL BLVD
Mailing Address - Street 2:#35
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-5717
Mailing Address - Country:US
Mailing Address - Phone:954-351-0757
Mailing Address - Fax:954-337-3358
Practice Address - Street 1:1511 E COMMERCIAL BLVD
Practice Address - Street 2:#35
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-5717
Practice Address - Country:US
Practice Address - Phone:954-351-0757
Practice Address - Fax:954-337-3358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)