Healthcare Provider Details

I. General information

NPI: 1679584007
Provider Name (Legal Business Name): CITY OF BOCA RATON OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 10/12/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 CONGRESS AVE SUITE 200
BOCA RATON FL
33487-2851
US

IV. Provider business mailing address

PO BOX 737877
DALLAS TX
75373-7877
US

V. Phone/Fax

Practice location:
  • Phone: 561-982-4000
  • Fax: 561-982-4062
Mailing address:
  • Phone: 561-982-4000
  • Fax: 561-982-4062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JOHN T TREANOR
Title or Position: FIRE CHIEF
Credential:
Phone: 561-982-4000