Healthcare Provider Details

I. General information

NPI: 1083818298
Provider Name (Legal Business Name): TOWN OF LONGBOAT KEY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5490 GULF OF MEXICO DR
LONGBOAT KEY FL
34228-1902
US

IV. Provider business mailing address

501 BAY ISLES RD
LONGBOAT KEY FL
34228-3142
US

V. Phone/Fax

Practice location:
  • Phone: 941-316-1944
  • Fax: 941-316-1946
Mailing address:
  • Phone: 941-316-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number4101
License Number StateFL

VIII. Authorized Official

Name: HOWARD TIPTON
Title or Position: TOWN MANAGER
Credential:
Phone: 941-316-1999