Provider Demographics
NPI:1649270216
Name:CITY OF STUART OFFICE OF FINANCE
Entity type:Organization
Organization Name:CITY OF STUART OFFICE OF FINANCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:T
Authorized Official - Last Name:FELICIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-600-1287
Mailing Address - Street 1:MAIL CODE: 2009 PO BOX 282009
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33630-2009
Mailing Address - Country:US
Mailing Address - Phone:772-288-5360
Mailing Address - Fax:772-288-5371
Practice Address - Street 1:800 SE MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2408
Practice Address - Country:US
Practice Address - Phone:772-288-5360
Practice Address - Fax:772-288-5371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLALS4305341600000X
341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL590006920OtherMEDICARE METRAHEALTH
FL400057900Medicaid
FLA0646Medicare PIN
FL400057900Medicaid