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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