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
Specialties
(Taxonomies)Name
Code
251B00000X
171M00000X
251S00000X
252Y00000X
106H00000X
101YP1600X
101YP2500X
374K00000X
251V00000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
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