Provider Demographics
NPI:1225384803
Name:DAYTONA BEACH FIRE DEPARTMENT
Entity Type:Organization
Organization Name:DAYTONA BEACH FIRE DEPARTMENT
Other - Org Name:CITY OF DAYTONA BEACH
Other - Org Type:Other Name
Authorized Official - Title/Position:LIEUTENANT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:STONEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:386-671-4006
Mailing Address - Street 1:301 S BEACH ST
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-5001
Mailing Address - Country:US
Mailing Address - Phone:386-671-4000
Mailing Address - Fax:386-671-4005
Practice Address - Street 1:301 S BEACH ST
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-5001
Practice Address - Country:US
Practice Address - Phone:386-671-4000
Practice Address - Fax:386-671-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3366341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance