Provider Demographics
NPI:1083417125
Name:AMMANN, CHRISTOPHER JUSTIN (NREMT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JUSTIN
Last Name:AMMANN
Suffix:
Gender:
Credentials:NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-5502
Mailing Address - Country:US
Mailing Address - Phone:239-533-3911
Mailing Address - Fax:
Practice Address - Street 1:2000 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-5502
Practice Address - Country:US
Practice Address - Phone:239-533-3911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLEMT582222146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic