=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275578437
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HILLSBOROUGH COUNTY FLORIDA BOARD OF COUNTY COMMISSIONERS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/19/2006
-----------------------------------------------------
Last Update Date | 11/27/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9450 E COLUMBUS DR
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33619-2378
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-272-6600
-----------------------------------------------------
Fax | 813-272-5328
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9450 E COLUMBUS DR
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33619-2378
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-272-6600
-----------------------------------------------------
Fax | 813-272-5328
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FIRE CHIEF
-----------------------------------------------------
Name | DENNIS JONES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 813-272-6600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 2906
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------