Organization Active NPI

County of Broward Office of the Sheriff

  • Ambulance
  • Fort Lauderdale, FL
National Provider Identifier
1437262565
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3215 Issued in FL
Legal business name
COUNTY OF BROWARD OFFICE OF THE SHERIFF
Practice address
2601 W Broward Blvd
Fort Lauderdale, FL 33312-1308
Phone
(954) 831-8291
NPI assigned
Aug 15, 2006
Last updated
Mar 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Charles Lanza
Title
Director of Fire Rescue
Phone
(954) 831-8291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3215 FL Primary

Addresses

Primary practice location

2601 W Broward Blvd
Fort Lauderdale, FL 33312-1308

Mailing address

PO Box 919068
Orlando, FL 32891-9068

Other identifiers 3

IdentifierTypeStateIssuer
590011345OtherRAILROAD PROVIDER ID
400042100MedicaidFL
A0692OtherFLPART B MEDICARE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000982 FL Part B Supplier - Ambulance Service Supplier 0749174068 Practice locations: Deerfield Beach, FL; Weston, FL; West Park, FL; Pompano Beach, FL; Lauderdale Lakes, FL; Fort Lauderdale, FL; Cooper City, FL; Dania, FL…

National Provider Directory

National Provider Directory
Tax ID family
Broward County Fire Rescue2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

116 W Dania Beach Blvd
Dania Beach, FL 33004
Phone (800) 417-2165

232 Goolsby Blvd
Deerfield Beach, FL 33442

590 S Powerline Rd
Deerfield Beach, FL 33442

71 SE 21st Ave
Deerfield Beach, FL 33441

928 E Hillsboro Blvd
Deerfield Beach, FL 33441
Phone (954) 480-4350

1901 Eller Dr
Fort Lauderdale, FL 33316

2200 SW 46th Ave
Fort Lauderdale, FL 33317

2308 SW 42nd St
Fort Lauderdale, FL 33312

2601 W Broward Blvd
Rm 3585
Fort Lauderdale, FL 33312
Phone (800) 417-2165

10550 Stirling Rd
Hollywood, FL 33026

3461 NW 43rd Ave
Lauderdale Lakes, FL 33319

791 NW 31st Ave
Lauderhill, FL 33311

3192 N Powerline Rd
Pompano Beach, FL 33069

2610 SW 40th Ave
West Park, FL 33023

17350 Royal Palm Blvd
Weston, FL 33326

3955 Bonaventure Blvd
Weston, FL 33332

951 Saddle Club Rd
Weston, FL 33327

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1437262565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919068",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121308",
            "telephone_number": "954-831-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BROWARD OFFICE OF THE SHERIFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR OF FIRE RESCUE",
        "authorized_official_telephone_number": "954-831-8291"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "3215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER ID",
            "identifier": "590011345",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400042100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B MEDICARE #",
            "identifier": "A0692",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.