Provider Demographics
NPI:1184674889
Name:OCEAN REEF VOLUNTEER FIRE DEPARTMENT INC.
Entity Type:Organization
Organization Name:OCEAN REEF VOLUNTEER FIRE DEPARTMENT INC.
Other - Org Name:OCEAN REEF PUBLIC SAFETY DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-367-7323
Mailing Address - Street 1:24 DOCKSIDE LN
Mailing Address - Street 2:PMB 505
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-5267
Mailing Address - Country:US
Mailing Address - Phone:305-367-3067
Mailing Address - Fax:305-367-4246
Practice Address - Street 1:110 ANCHOR DR
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037
Practice Address - Country:US
Practice Address - Phone:305-367-2222
Practice Address - Fax:305-367-3139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2643341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA0494OtherBCBS
FLA0494OtherBCBS