Provider Demographics
NPI:1134114945
Name:CITY OF SANFORD FINANCE DIRECTOR
Entity Type:Organization
Organization Name:CITY OF SANFORD FINANCE DIRECTOR
Other - Org Name:CITY OF SANFORD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BATTALION CHIEF - EMS
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:TRELOAR
Authorized Official - Suffix:
Authorized Official - Credentials:PM
Authorized Official - Phone:407-688-5047
Mailing Address - Street 1:1303 WILLIAM CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-3243
Mailing Address - Country:US
Mailing Address - Phone:407-688-5047
Mailing Address - Fax:407-688-5041
Practice Address - Street 1:1303 WILLIAM CLARK AVE
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-3243
Practice Address - Country:US
Practice Address - Phone:407-688-5047
Practice Address - Fax:407-688-5041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
59-0013372OtherRAILROAD MEDICARE
FLA0709OtherBC/BS OF FLORIDA
FL400047100Medicaid
FLE9004Medicare ID - Type Unspecified