Provider Demographics
NPI:1679584007
Name:CITY OF BOCA RATON OFFICE
Entity type:Organization
Organization Name:CITY OF BOCA RATON OFFICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:TREANOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-982-4000
Mailing Address - Street 1:PO BOX 737877
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-7877
Mailing Address - Country:US
Mailing Address - Phone:561-982-4000
Mailing Address - Fax:561-982-4062
Practice Address - Street 1:6500 CONGRESS AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2851
Practice Address - Country:US
Practice Address - Phone:561-982-4000
Practice Address - Fax:561-982-4062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL400023400Medicaid
FLA0681OtherPART B MEDICARE #