Organization
COUNTY OF BRADFORD
Active
Parent organization
COUNTY OF BRADFORD
Other names
Bradford County EMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF BRADFORD
Authorized official
RANDALL A. PARRISH PARAMEDIC (DIRECTOR)
(904) 966-6911
Entity
Organization
Contact information
Practice address
945 N TEMPLE AVE, SUITE C, STARKE, FL 32091-2110
(904) 966-6911
(904) 966-6171
Mailing address
PO BOX B, 945 NORTH TEMPLE AVENUE SUITE C, STARKE, FL 32091-2110
(904) 966-6905
(904) 966-6171
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099404900
—
FL
Enumeration date
06/17/2006
Last updated
07/25/2012
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