Provider Demographics
NPI:1932459625
Name:FALCK SOUTHEAST II CORP
Entity Type:Organization
Organization Name:FALCK SOUTHEAST II CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-876-2100
Mailing Address - Street 1:P.O. BOX 66-8710
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-8710
Mailing Address - Country:US
Mailing Address - Phone:305-888-4100
Mailing Address - Fax:305-888-3229
Practice Address - Street 1:6605 NW 74TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-2819
Practice Address - Country:US
Practice Address - Phone:305-888-4100
Practice Address - Fax:305-888-3229
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FALCK USA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-11
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)