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Organization

COUNTY OF BROWARD OFFICE OF THE SHERIFF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES LANZA (DIRECTOR OF FIRE RESCUE)
(954) 831-8291
Entity
Organization

Contact information

Practice address
2601 W BROWARD BLVD, FORT LAUDERDALE, FL 33312-1308
(954) 831-8291
Mailing address
PO BOX 919068, ORLANDO, FL 32891-9068

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3215
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400042100
FL
01
590011345
RAILROAD PROVIDER ID
01
A0692
PART B MEDICARE #
FL
Enumeration date
08/15/2006
Last updated
03/25/2011
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