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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