MEDICARE: CITY OF NORTH PORT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	406590292	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619071396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF NORTH PORT

Provider Business Mailing Address
First Line	:	PO BOX 917320
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891
Country	:	US
Telephone Number	:	888-212-0434
Fax Number	:	305-421-0928

Provider Business Practice Location Address
First Line	:	4980 CITY CENTER BLVD
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286
Country	:	US
Telephone Number	:	941-423-4353
Fax Number	:	941-423-4357

Authorized Official
Title or Position	:	MAYOR
Name	:	PHIL STOKES
Credential	:
Telephone Number	:	888-212-0434

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	05/07/2025

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Directions to “CITY OF NORTH PORT ” Practice Location

Language	Start Address	Practice Location

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