Provider Demographics
NPI:1093788358
Name:CITY OF WINTER SPRINGS
Entity Type:Organization
Organization Name:CITY OF WINTER SPRINGS
Other - Org Name:CITY OF WINTER SPRINGS FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-327-2332
Mailing Address - Street 1:102 N MOSS RD
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-2506
Mailing Address - Country:US
Mailing Address - Phone:407-327-2332
Mailing Address - Fax:407-327-4750
Practice Address - Street 1:102 N MOSS RD
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-2506
Practice Address - Country:US
Practice Address - Phone:407-327-2332
Practice Address - Fax:407-327-4750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0024913416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL400034000Medicaid
FLA0693Medicare ID - Type Unspecified