Active NPI
Leopard Transport of Central Florida
- Land Ambulance
- Lady Lake, FL
National Provider Identifier
1114587169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LEOPARD TRANSPORT OF CENTRAL FLORIDA
- Practice address
- 121 W Hermosa St
Lady Lake, FL 32159-3842 - Phone
- (866) 204-4000
- Fax
- (352) 818-6188
- NPI assigned
- Jun 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly L Czajko
- Title
- Dispatch Supervisor
- Phone
- (866) 204-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
121 W Hermosa St
Lady Lake, FL 32159-3842
Mailing address
121 W Hermosa St
Lady Lake, FL 32159-3842
Phone (866) 204-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250909000712 | FL | Part B Supplier - Ambulance Service Supplier | 5395247233 | Practice locations: Lady Lake, FL |
National Provider Directory
National Provider DirectoryLocations
121 W Hermosa St
Lady Lake, FL 32159
Phone (352) 504-9971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1114587169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W HERMOSA ST",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593842",
"telephone_number": "866-204-4000",
"fax_number": "352-818-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W HERMOSA ST",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593842",
"telephone_number": "866-204-4000",
"fax_number": "352-818-6188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEOPARD TRANSPORT OF CENTRAL FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-20",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "CZAJKO",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DISPATCH SUPERVISOR",
"authorized_official_telephone_number": "866-204-4000"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.