Provider Demographics
NPI:1891790424
Name:CITY OF POMPANO BEACH
Entity type:Organization
Organization Name:CITY OF POMPANO BEACH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF OF EMS
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:GALGANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-224-8457
Mailing Address - Street 1:PO BOX 978597
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75397-8597
Mailing Address - Country:US
Mailing Address - Phone:954-786-4510
Mailing Address - Fax:
Practice Address - Street 1:100 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6099
Practice Address - Country:US
Practice Address - Phone:954-786-4510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3147341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL400002100Medicaid
FL590009481OtherR/R MEDICARE PROVIDER
FL400002100Medicaid