Provider Demographics
NPI:1487933248
Name:COUNTY OF VOLUSIA
Entity type:Organization
Organization Name:COUNTY OF VOLUSIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNTY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:RECKTENWALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-736-5920
Mailing Address - Street 1:112 CARSWELL AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLY HILL
Mailing Address - State:FL
Mailing Address - Zip Code:32117-5010
Mailing Address - Country:US
Mailing Address - Phone:386-252-4900
Mailing Address - Fax:386-252-4986
Practice Address - Street 1:125 W NEW YORK AVE
Practice Address - Street 2:SUITE 182
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-5415
Practice Address - Country:US
Practice Address - Phone:386-740-5201
Practice Address - Fax:386-626-6618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLALS64073416A0800X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No3416A0800XTransportation ServicesAmbulanceAir Transport