Provider Demographics
NPI:1083728588
Name:CITY OF APOPKA
Entity Type:Organization
Organization Name:CITY OF APOPKA
Other - Org Name:APOPKA FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:WILFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-703-1756
Mailing Address - Street 1:PO BOX 162970
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30321-2970
Mailing Address - Country:US
Mailing Address - Phone:407-703-1756
Mailing Address - Fax:407-703-1714
Practice Address - Street 1:175 E 5TH ST
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5313
Practice Address - Country:US
Practice Address - Phone:407-703-1756
Practice Address - Fax:407-703-1714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL088047700Medicaid
FLA0011Medicare PIN