Islamorada Village of Islands a Florida Municipality

Primary specialty

AmbulanceTaxonomy code 341600000X

License

ALS4406 Issued in FL

Legal business name

ISLAMORADA VILLAGE OF ISLANDS A FLORIDA MUNICIPALITY

Practice address

86800 Overseas Hwy
Islamorada, FL 33036-3162

Phone

(305) 664-6490

Fax

(305) 852-5195

NPI assigned

Jul 13, 2005

Last updated

Nov 23, 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

Mr. William A Wagner III

Title

Fire Chief

Phone

(305) 664-6490

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1912905829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WALMART WAY",
            "address_2": "PMB 510",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330818",
            "telephone_number": "877-288-8561",
            "fax_number": "866-889-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86800 OVERSEAS HWY",
            "city": "ISLAMORADA",
            "state": "FL",
            "postal_code": "330363162",
            "telephone_number": "305-664-6490",
            "fax_number": "305-852-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAMORADA VILLAGE OF ISLANDS A FLORIDA MUNICIPALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "305-664-6490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "ALS4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400060900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R. Dailey Grainger, PH.D., ARNP, B.C.
• Devonne P Hall, LPN
• Rose Elizabeth Hewson-Hussey, ARNP
• Mark J. Hlis, O.D.
• Holiday CVS LLC (CVS Pharmacy 03788)
• Island Pediatrics of Islamorada PA
• Nicholas Jastrzemski, PHARM.D., R.PH.
• Janis J Jeffers, DMD
• Keys Medical Center, Inc.
• Abrianna Rochelle Lawrence, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.