Organization Active NPI

City of Apopka

  • Land Ambulance
  • Apopka, FL
National Provider Identifier
1083728588
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Sep 10, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
088047700MedicaidFL

Other names 1

  • APOPKA FIRE DEPARTMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090527000501 FL Part B Supplier - Ambulance Service Supplier 5193874964 Practice locations: Apopka, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.