CITY OF PEMBROKE PINES NPI 1710028410

NPI Information

NPI: 1710028410
Provider Name: CITY OF PEMBROKE PINES
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 10D0892497

Address:
9500 PINES BLVD
BLDG B
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 499-9600
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CITY OF PEMBROKE PINES is a land transport ambulance in Pembroke Pines, FL. CITY OF PEMBROKE PINES NPI is 1710028410. The provider is registered as an organization entity type.

The provider's business location address is:

9500 PINES BLVD
BLDG B
PEMBROKE PINES, FL
ZIP 33024-258
Phone: (954) 499-9600

The provider's authorized official is John Penick .
The authorized official title is Division Chief Of Rescue and has the following contact phone number (954) 499-9584.

The CLIA number assigned to this NPI record is 10D0892497 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 4/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	2813	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A0444	OTHER	FLORIDA	BC/BS OF FLORIDA
2	N7076	OTHER	FLORIDA	STAY WELL HEALTH PLAN
3	085063200	MEDICAID	FLORIDA
4	590000614	OTHER	FLORIDA	PALMETTO GBA RAILROAD MED
5	A0444	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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