# COUNTY OF OKALOOSA BOARD OF COMMISSIONERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Okaloosa Emergency Med
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649292756
- **Authorized official:** MR. DINO J VILLANI (DIRECTOR/OFFICER)
- **Authorized official phone:** (850) 651-7150

## Contact information

- **Practice address:** 90 COLLEGE BLVD E, NICEVILLE, FL 32578-1343
- **Practice address phone:** (850) 651-7150
- **Practice address fax:** (850) 651-7170
- **Mailing address:** PO BOX 116783, ATLANTA, GA 30368
- **Mailing address phone:** (305) 459-0664
- **Mailing address fax:** (305) 421-0928

## Taxonomy

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

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 04/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 088193700 | — | FL |
| 01 | — | 406590215 | RR MEDICARE | — |