Organization Active NPI

Freedom Medical Transport LLC

  • Land Ambulance
  • Winter Haven, FL
National Provider Identifier
1154719151
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FREEDOM MEDICAL TRANSPORT LLC
Practice address
1521 7TH St SW Ste Unit4
Winter Haven, FL 33880-3836
Phone
(863) 875-4882
Fax
(863) 875-7904
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
David Kunberger
Title
President
Phone
(863) 875-4882

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X FL Primary
Secured Medical Transport (VAN) 343800000X FL

Addresses

Primary practice location

1521 7TH St SW Ste Unit4
Winter Haven, FL 33880-3836

Mailing address

1521 7TH St SW Ste Unit4
Winter Haven, FL 33880-3836
Phone (863) 875-4882

National Provider Directory

National Provider Directory

Locations

1521 7th St SW
Unit 4
Winter Haven, FL 33880
Phone (863) 875-4882

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1154719151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 7TH ST SW STE UNIT4",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803836",
            "telephone_number": "863-875-4882",
            "fax_number": "863-875-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 7TH ST SW STE UNIT4",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803836",
            "telephone_number": "863-875-4882",
            "fax_number": "863-875-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "KUNBERGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-875-4882"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.