Organization
COUNTY OF HERNANDO BOARD OF COUNTY COMMISSIONERS
Active
Organization
COUNTY OF HERNANDO BOARD OF COUNTY COMMISSIONERS
Active
Other names
Hernando County Fire Rescue District
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE NICKERSON (CHIEF)
(352) 540-4353
Entity
Organization
Contact information
Practice address
60 VETERANS AVE, BROOKSVILLE, FL 34601
(352) 540-4353
(352) 540-4355
Mailing address
15470 FLIGHT PATH DR, BROOKSVILLE, FL 34604-6823
(352) 540-4353
(352) 540-4355
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159292100
US DEPT OF LABOR
FL
05
—
400076500
—
FL
01
—
A0726
BLUE CROSS PROVIDER #
FL
Enumeration date
06/21/2005
Last updated
03/24/2021
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