Organization
CITY OF PORT ORANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL TROY RAFFERTY NREMT-P (EMS MANAGER)
(386) 756-5410
Entity
Organization
Contact information
Practice address
1000 CITY CENTER CIR, PORT ORANGE, FL 32129-4144
(386) 756-5410
(386) 756-5405
Mailing address
1000 CITY CENTER CIR, PORT ORANGE, FL 32129-4144
(386) 756-5410
(386) 756-5405
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
2725
FL
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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