Provider Demographics
NPI:1679584973
Name:CITY OF LIGHTHOUSE POINT
Entity Type:Organization
Organization Name:CITY OF LIGHTHOUSE POINT
Other - Org Name:CITY OF LIGHTHOUSE POINT FIRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WEECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-941-2624
Mailing Address - Street 1:PO BOX 862434
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-2434
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2101 NE 36TH ST
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-7539
Practice Address - Country:US
Practice Address - Phone:954-943-7750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3327341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL400058700Medicaid
FL590013685OtherRAILROAD PROVIDER ID
FL590013685OtherRAILROAD PROVIDER ID