City of Plantation

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3244 Issued in FL

Legal business name

CITY OF PLANTATION

Practice address

400 NW 73Rd Ave
Plantation, FL 33317-1609

Phone

(954) 797-2150

NPI assigned

Aug 12, 2006

Last updated

Mar 28, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Pudney

Title

Fire Chief

Phone

(954) 797-2150

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1225040827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918557",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328918557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NW 73RD AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171609",
            "telephone_number": "954-797-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PLANTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "PUDNEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "954-797-2150"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "3244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400040400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER ID",
            "identifier": "590011521",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry O Ciocon, M.D.
• Debora Cipriani Dias Deon, MD
• Teresa Cisar, RPH
• Josefina J Cisneros, LMHC
• Carl Stanton Citron, MD
• City Surgery Center Inc
• Chatiela Clark, EDS
• John Rushford Clarke
• Koreen Alanna Clarke
• Clauds Physical Therapy & Wellness LLC

• Ambulance in Plantation, FL
• Providers in Plantation, FL by specialty
• Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.