Active NPI
City of Apopka
- Land Ambulance
- Apopka, FL
National Provider Identifier
1083728588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF APOPKA
- Practice address
- 175 E 5TH St
Apopka, FL 32703-5313 - Phone
- (407) 703-1756
- Fax
- (407) 703-1714
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wilfredo Rivera-Sanchez
- Title
- Captain
- Phone
- (407) 703-1756
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
175 E 5TH St
Apopka, FL 32703-5313
Mailing address
PO Box 162970
Atlanta, GA 30321-2970
Phone (407) 703-1756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088047700 | Medicaid | FL |
Other names 1
- APOPKA FIRE DEPARTMENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090527000501 | FL | Part B Supplier - Ambulance Service Supplier | 5193874964 | Practice locations: Apopka, FL |
National Provider Directory
National Provider DirectoryLocations
2750 W Orange Ave
Apopka, FL 32703
Phone (407) 703-1719
801 Piedmont Wekiwa Rd
Apopka, FL 32703
Phone (407) 703-1749
175 E 5th St
Apopka, FL 32703
Phone (407) 703-1756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568073600000",
"number": "1083728588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 162970",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303212970",
"telephone_number": "407-703-1756",
"fax_number": "407-703-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 E 5TH ST",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035313",
"telephone_number": "407-703-1756",
"fax_number": "407-703-1714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF APOPKA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2019-09-10",
"status": "A",
"authorized_official_last_name": "RIVERA-SANCHEZ",
"authorized_official_first_name": "WILFREDO",
"authorized_official_title_or_position": "CAPTAIN",
"authorized_official_telephone_number": "407-703-1756"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "088047700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "APOPKA FIRE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "APOPKA FIRE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.