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Organization
CITY OF MIRAMAR
Active
Organization
CITY OF MIRAMAR
Active
Other names
City of Miramar Fire Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFF RICKETTS (EMS DIVISION CHIEF)
(954) 602-4873
Entity
Organization
Contact information
Practice address
14801 SW 27TH ST, MIRAMAR, FL 33027-4100
(954) 602-4802
(954) 430-5313
Mailing address
PO BOX 947249, ATLANTA, GA 30394-7249
(954) 602-4802
(954) 430-5313
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088070100
—
FL
01
—
590007739
RAILROAD PROVIDER ID
FL
01
—
A0457
PART B MEDICARE #
FL
Enumeration date
07/06/2005
Last updated
10/18/2021
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