Active NPI
Falck Southeast II, Corp.
- Land Ambulance
- Miami, FL
National Provider Identifier
1699020032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- FALCK SOUTHEAST II, CORP.
- Practice address
- 6605 NW 74TH Ave
Miami, FL 33166-2819 - Phone
- (305) 925-2000
- Fax
- (305) 888-3229
- NPI assigned
- Jul 23, 2012
- Organization subpart
- Yes
- Parent organization
- FALCK USA, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles Maymon
- Title
- Ceo
- Phone
- (888) 876-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
6605 NW 74TH Ave
Miami, FL 33166-2819
Mailing address
PO Box 538598
Atlanta, GA 30353-8598
Phone (888) 876-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121120000419 | FL | Part B Supplier - Ambulance Service Supplier | 7012168438 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fort Pierce, FL; Jacksonville, FL; Orlando, FL |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Falck USA Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519948800000",
"number": "1699020032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 538598",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303538598",
"telephone_number": "888-876-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6605 NW 74TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331662819",
"telephone_number": "305-925-2000",
"fax_number": "305-888-3229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FALCK SOUTHEAST II, CORP.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FALCK USA, INC.",
"enumeration_date": "2012-07-23",
"last_updated": "2018-03-02",
"status": "A",
"authorized_official_last_name": "MAYMON",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-876-2100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.