Provider Demographics
NPI:1801967377
Name:ADVANCED AIR AMBULANCE, CORP.
Entity type:Organization
Organization Name:ADVANCED AIR AMBULANCE, CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYRELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-232-7700
Mailing Address - Street 1:12360 SW 132ND CT
Mailing Address - Street 2:SUITE #208
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6464
Mailing Address - Country:US
Mailing Address - Phone:305-232-7700
Mailing Address - Fax:305-232-7734
Practice Address - Street 1:12360 SW 132ND CT
Practice Address - Street 2:SUITE #208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6464
Practice Address - Country:US
Practice Address - Phone:305-232-7700
Practice Address - Fax:305-232-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0004213416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport