Organization

The United States Fire Department Reserve Corps, Inc.

Legal Business Name

The United States Fire Department Reserve Corps, Inc.

NPI Number

1154891422

NPI Type

Organization

Enumeration Date

11/29/2018

Contact
Information

Purpose

Mailing
Location

Address

4700 MILLENIA BLVD STE 175
4700 MILLENIA BLVD STE 175

City

Orlando
Orlando

State

FL
FL

Postal Code

32839-6015
32839-6015

Country

US
US

Telephone Number

(132) 133-2710
(132) 133-2710

Authorized Official

Name

Carmelo Baez

Title or Position

CEO/NCMDR

Telephone Number

(321) 332-7100

Identifiers

Identifier

1060527
104797200
101541400
M5945
161242

Identifier State

FL
FL
FL
FL
FL

Identifier Issuer

BEACON HEALTH OPTIONS
Unknown
Unknown
FIRST COST SERVICES OPTIONS
WELLCARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/07/2022

Provider Address