Organization Active NPI

Mt Medical Florida, LLC

  • Ambulance
  • Jacksonville, FL
National Provider Identifier
1124594619
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MT MEDICAL FLORIDA, LLC
Doing business as
MedTrust
Practice address
6820 Southpoint Pkwy
Jacksonville, FL 32216-6276
Phone
(843) 284-6331
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Lorhding
Title
Cfo
Phone
(843) 284-6331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

6820 Southpoint Pkwy
Jacksonville, FL 32216-6276

Mailing address

1014 Bankton Cir Ste 100
Hanahan, SC 29410-2931
Phone (843) 284-6331

Other names 1

  • MedTrust Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190201000718 FL Part B Supplier - Ambulance Service Supplier 7113264995 Practice locations: Orange Park, FL; Jacksonville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2158691Mt Medical Florida LLC6820 Southpoint Pkwy Ste 3, Jacksonville, FL 32216Certificate of waiverDec 3, 2026

National Provider Directory

National Provider Directory

Locations

6820 Southpoint Pkwy
Ste 2
Jacksonville, FL 32216

6820 Southpoint Pkwy
Ste 3
Jacksonville, FL 32216

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1124594619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 BANKTON CIR STE 100",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294102931",
            "telephone_number": "843-284-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 SOUTHPOINT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166276",
            "telephone_number": "843-284-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT MEDICAL FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "LORHDING",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-284-6331"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedTrust",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.