Organization
COUNTY OF DIXIE BOARD OF COUNTY COMM
Active
Other names
Dixie County Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM ALEXANDER (DIRECTOR)
(352) 498-1240
Entity
Organization
Contact information
Practice address
17600 SE 19 HIGHWAY, CROSS CITY, FL 32628-3506
(352) 498-1240
(352) 498-1244
Mailing address
P O BOX 2009, CROSS CITY, FL 32628-2009
(352) 498-1240
(352) 498-1244
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ALS1501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088175900
—
FL
01
—
590072343
RAILROAD MEDICARE
—
Enumeration date
11/28/2005
Last updated
04/13/2012
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