Organization Active NPI

Emerald Coast Glambulance LLC

  • Primary Care Clinic/Center
  • Wesley Chapel, FL
National Provider Identifier
1477267474
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EMERALD COAST GLAMBULANCE LLC
Practice address
2318 Cypress CV
Wesley Chapel, FL 33544-6786
Phone
(813) 367-1474
NPI assigned
Jan 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monique Wyche, APRN
Title
Ceo/Owner
Phone
(813) 387-1474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2318 Cypress CV
Wesley Chapel, FL 33544-6786

Mailing address

2318 Cypress CV
Wesley Chapel, FL 33544-6786
Phone (813) 367-1474

National Provider Directory

National Provider Directory

Locations

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

2318 Cypress Cv
Wesley Chapel, FL 33544
Phone (813) 367-1474

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1477267474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 CYPRESS CV",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446786",
            "telephone_number": "813-367-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 CYPRESS CV",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446786",
            "telephone_number": "813-367-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST GLAMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "WYCHE",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "813-387-1474",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.