# CITY OF MIRAMAR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** City of Miramar Fire Rescue
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356348312
- **Authorized official:** CLIFF RICKETTS (EMS DIVISION CHIEF)
- **Authorized official phone:** (954) 602-4873

## Contact information

- **Practice address:** 14801 SW 27TH ST, MIRAMAR, FL 33027-4100
- **Practice address phone:** (954) 602-4802
- **Practice address fax:** (954) 430-5313
- **Mailing address:** PO BOX 947249, ATLANTA, GA 30394-7249
- **Mailing address phone:** (954) 602-4802
- **Mailing address fax:** (954) 430-5313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2005
- **Last updated:** 10/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 088070100 | — | FL |
| 01 | — | 590007739 | RAILROAD PROVIDER ID | FL |
| 01 | — | A0457 | PART B MEDICARE \# | FL |