MEDICARE: CITY OF SANFORD FINANCE DIRECTOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146L00000X	Paramedic		FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	59-0013372	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	A0709	OTHER	FL	BC/BS OF FLORIDA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134114945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF SANFORD FINANCE DIRECTOR

Provider Business Mailing Address
First Line	:	PO BOX 947335
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30394-7335
Country	:	US
Telephone Number	:	407-688-5047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 WILLIAM CLARK AVE
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-3243
Country	:	US
Telephone Number	:	407-688-5047
Fax Number	:	407-688-5041

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	RONNIE MCNEIL
Credential	:
Telephone Number	:	407-688-5040

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	02/25/2026

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