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General NPI Number Information
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NPI Number | 1194821595
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Entity Type | Organization
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Legal Business Name | BREVARD COUNTY BOARD OF COUNTY COMMISSIONER
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1040 FLORIDA AVE S
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City | ROCKLEDGE
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State | FL
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Zip | 32955-2498
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Country | US
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Telephone | 321-633-2056
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Fax | 321-633-2057
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Provider Business Mailing Address
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Address Line | PO BOX 915189
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City | ORLANDO
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State | FL
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Zip | 32891-5189
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Country | US
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Telephone | 743-264-2420
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Fax | 321-633-2057
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Authorized Official
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Title or Position | FIRE CHIEF/DIRECTOR
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Name | PATRICK M. VOLTAIRE JR.
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Credential |
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Telephone | 321-633-2056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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