Provider Demographics
NPI:1821104415
Name:CITY OF TAMPA FLA
Entity Type:Organization
Organization Name:CITY OF TAMPA FLA
Other - Org Name:CITY OF TAMPA FIRE RESCUE
Other - Org Type:Other Name
Authorized Official - Title/Position:ASST CHIEF OF ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-274-8321
Mailing Address - Street 1:315 E KENNEDY
Mailing Address - Street 2:OSOC2
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602
Mailing Address - Country:US
Mailing Address - Phone:305-459-0664
Mailing Address - Fax:305-421-0928
Practice Address - Street 1:808 EAST ZACK STREET
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602
Practice Address - Country:US
Practice Address - Phone:813-274-7005
Practice Address - Fax:813-274-7006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL087752200Medicaid
590004224OtherRAILROAD MEDICARE
FL087752200Medicaid