Healthcare Provider Details

I. General information

NPI: 1306196183
Provider Name (Legal Business Name): FALCK SOUTHEAST II CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2012
Last Update Date: 09/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 NW 74TH AVE
MIAMI FL
33166-2820
US

IV. Provider business mailing address

P.O. BOX 66-8710
MIAMI FL
33166-8710
US

V. Phone/Fax

Practice location:
  • Phone: 800-481-2910
  • Fax: 305-888-3229
Mailing address:
  • Phone: 800-481-2910
  • Fax: 305-888-3229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT F. HEFFNER
Title or Position: PRESIDENT & CEO
Credential:
Phone: 425-892-1180