Provider Demographics
NPI:1679505432
Name:CITY OF DELRAY BEACH
Entity Type:Organization
Organization Name:CITY OF DELRAY BEACH
Other - Org Name:CITY OF DELRAY BEACH FIRE RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:FAYE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA, CTP
Authorized Official - Phone:561-243-7000
Mailing Address - Street 1:100 NW 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-2612
Mailing Address - Country:US
Mailing Address - Phone:561-243-7000
Mailing Address - Fax:561-243-7166
Practice Address - Street 1:501 W ATLANTIC AVENUE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-2555
Practice Address - Country:US
Practice Address - Phone:561-243-7000
Practice Address - Fax:561-243-7166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00342233416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA0634Medicare ID - Type Unspecified
FLA0634Medicare ID - Type Unspecified