Provider Demographics
NPI:1578655338
Name:VILLAGE OF KEY BISCAYNE
Entity Type:Organization
Organization Name:VILLAGE OF KEY BISCAYNE
Other - Org Name:VILLAGE OF KEY BISCAYNE FIRE RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-365-8989
Mailing Address - Street 1:PO BOX 919806
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32862-9806
Mailing Address - Country:US
Mailing Address - Phone:305-365-8989
Mailing Address - Fax:305-365-8933
Practice Address - Street 1:560 CRANDON BLVD
Practice Address - Street 2:
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-1832
Practice Address - Country:US
Practice Address - Phone:305-365-8989
Practice Address - Fax:305-365-8933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
FLALS 13203416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAD131Medicare PIN