Healthcare Provider Details

I. General information

NPI: 1205886686
Provider Name (Legal Business Name): BROWARD AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NW 29TH MNR
POMPANO BEACH FL
33069-1031
US

IV. Provider business mailing address

PO BOX 402079
ATLANTA GA
30384-2079
US

V. Phone/Fax

Practice location:
  • Phone: 954-229-1300
  • Fax: 945-771-7000
Mailing address:
  • Phone: 800-913-9106
  • Fax:

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: BRIAN SCOTT TIERNEY
Title or Position: EVP, CHEIF FINANCIAL OFFICER
Credential:
Phone: 833-703-2294