Provider Demographics
NPI:1194736488
Name:CITY OF HALLANDALE BEACH
Entity type:Organization
Organization Name:CITY OF HALLANDALE BEACH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INTERIM FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGLIARULO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-457-1481
Mailing Address - Street 1:PO BOX 919445
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-9445
Mailing Address - Country:US
Mailing Address - Phone:954-457-1470
Mailing Address - Fax:270-744-8647
Practice Address - Street 1:121 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-6309
Practice Address - Country:US
Practice Address - Phone:954-457-1470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3070341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL406590555OtherRAILROAD PROVIDER ID
FL088122800Medicaid
FL088122800Medicaid