Healthcare Provider Details

I. General information

NPI: 1922019249
Provider Name (Legal Business Name): CITY OF NORTH LAUDERDALE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 03/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 HAMPTON BLVD
NORTH LAUDERDALE FL
33068-2309
US

IV. Provider business mailing address

PO BOX 918556
ORLANDO FL
32891-8556
US

V. Phone/Fax

Practice location:
  • Phone: 954-720-4315
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3290
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3290
License Number StateFL

VIII. Authorized Official

Name: RODNEY TURPEL
Title or Position: FIRE CHIEF
Credential:
Phone: 954-720-4315