Coastal Ambulance LLC

NPI #1013284603 in Walterboro, South Carolina

Provider Information

NPI Number: 1013284603
Entity Type: Organization
Organization Name: Coastal Ambulance LLC
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Nov 26, 2011
Last Updated: Aug 3, 2012

Practice Location

Address: 415 ROBERTSON BLVD STE B
City: Walterboro
State: South Carolina
ZIP Code: 29488-5713
Phone: (888) 935-5525

Authorized Official

Name: DR. VLASTIMIL SMETKA, M.D.
Title: OWNER/MEDICAL DIRECTOR
Phone: (888) 935-5525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance - Land Transport — Land Transport	3416L0300X	Primary

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