Provider Demographics
NPI:1942405477
Name:TRINITY AIR AMBULANCE INTERNATIONAL LLC
Entity Type:Organization
Organization Name:TRINITY AIR AMBULANCE INTERNATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:INGER
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:SKRODER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-771-7911
Mailing Address - Street 1:3535 GALT OCEAN DR
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-6801
Mailing Address - Country:US
Mailing Address - Phone:954-771-7911
Mailing Address - Fax:
Practice Address - Street 1:3535 GALT OCEAN DRIVE
Practice Address - Street 2:
Practice Address - City:FT. LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5019
Practice Address - Country:US
Practice Address - Phone:954-771-7911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL04283416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport