Home » Florida » 32066 » County Of Lafayette Office Clerk Board County Commissioners

County Of Lafayette Office Clerk Board County Commissioners

County Of Lafayette Office Clerk Board County Commissioners is a health care provider in Mayo, FL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 136 S.e. Industrial Avenue, Mayo, FL 32066, US
Practice Location Phone386-294-1633
Practice Location Fax386-294-4242
Legal Business NameCOUNTY OF LAFAYETTE OFFICE CLERK BOARD COUNTY COMMISSIONERS
Other Organization NameLAFAYETTE COUNTY RESCUE
Other Organization Name TypeDoing Business As Name
NPI ?1942406475
Entity TypeOrganization
Enumeration Date ? Jun 22, 2007
Last Update Date ? Nov 26, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of County Of Lafayette Office Clerk Board County Commissioners

SpecialtySpecializationLicenseLicense State
Ambulance 2655Florida
Ambulance 2915Florida
Ambulance 2978Florida

legacy-id-icon Legacy Provider IDs of County Of Lafayette Office Clerk Board County Commissioners

Provider IdIssuer StateIssuer TypeIssuer
220145FloridaOtherAVMED HEALTH PLAN
SG1611FloridaOtherMETCARE HEALTH PLANS, INC
A0600FloridaOtherBLUE CROSS / BLUE SHIELD
400118400FloridaMedicaid

official-icon Authorized Official of County Of Lafayette Office Clerk Board County Commissioners

An authorized official is an appointed official with the legal authority to make changes and/or updates to the County Of Lafayette Office Clerk Board County Commissioners's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Trevor Hicks (PMD,BSBA,RN,FP-C)
Authorized Official Title/PositionEMS DIRECTOR
Authorized Official Phone Number386-294-1633