Organization
ST LUCIE COUNTY FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA A HANNOLD (AMBULANCE BILLING SUPERVISOR)
(772) 621-3352
Entity
Organization
Contact information
Practice address
5160 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
(772) 621-3321
(772) 621-3610
Mailing address
5160 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
(772) 621-3321
(772) 621-3610
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088065500
—
FL
Enumeration date
10/31/2005
Last updated
07/09/2021
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