Provider Demographics
NPI:1639271885
Name:COUNTY OF MANATEE
Entity type:Organization
Organization Name:COUNTY OF MANATEE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-749-3500
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34206-0589
Mailing Address - Country:US
Mailing Address - Phone:941-744-3981
Mailing Address - Fax:941-238-9224
Practice Address - Street 1:2101 47TH TER E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-3785
Practice Address - Country:US
Practice Address - Phone:941-744-3981
Practice Address - Fax:941-238-9224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLALS4102341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0880302-00Medicaid
FLA0301Medicare PIN