Provider Demographics
NPI:1316977135
Name:RURAL METRO OF NORTH FLORIDA INC
Entity type:Organization
Organization Name:RURAL METRO OF NORTH FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:DIMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-606-3600
Mailing Address - Street 1:PO BOX 532449
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-2449
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4930 GLOVER LANE
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570
Practice Address - Country:US
Practice Address - Phone:888-626-8634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RURAL/METRO CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-04
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLALS17043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88334401Medicaid
FL59008705OtherRAIL ROAD MEDICARE
FL88334401Medicaid