Provider Demographics
NPI:1215204730
Name:CITY OF TITUSVILLE
Entity Type:Organization
Organization Name:CITY OF TITUSVILLE
Other - Org Name:TITUSVILLE FIRE & EMERGENCY SERVICES DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF / EMS & TRAINING
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:PMD
Authorized Official - Phone:321-383-5708
Mailing Address - Street 1:550 S WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-3552
Mailing Address - Country:US
Mailing Address - Phone:321-383-5708
Mailing Address - Fax:321-383-5703
Practice Address - Street 1:550 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-3552
Practice Address - Country:US
Practice Address - Phone:321-383-5708
Practice Address - Fax:321-383-5703
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF TITUSVILLE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance