Active NPI
City of Lake Mary Florida
Doing business as City of Lake Fire Rescue
- Ambulance
- Lake Mary, FL
National Provider Identifier
1225114838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3273
- Legal business name
- CITY OF LAKE MARY FLORIDA
- Doing business as
- City of Lake Fire Rescue
- Practice address
- 911 Wallace CT
Lake Mary, FL 32746-2177 - Phone
- (407) 585-1480
- NPI assigned
- Oct 27, 2006
- Last updated
- Mar 24, 2026
- 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
- Michael McDowell, DO
- Title
- Fire Chief
- Phone
- (407) 585-1479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3273 | FL | Primary |
Addresses
Primary practice location
911 Wallace CT
Lake Mary, FL 32746-2177
Mailing address
PO Box 22653
Tampa, FL 33622-2653
Phone (407) 585-1480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400105200 | Medicaid | FL | |
| P00174428 | Other | FL | RAILROAD MEDICARE |
Other names 1
- CITY OF LAKE FIRE RESCUE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070806000473 | FL | Part B Supplier - Ambulance Service Supplier | 9133210131 | Practice locations: Lake Mary, FL |
National Provider Directory
National Provider DirectoryLocations
145 E Crystal Lake Ave
Lake Mary, FL 32746
Phone (407) 585-1477
235 Rinehart Rd
Lake Mary, FL 32746
Phone (407) 333-8240
911 Wallace Ct
Lake Mary, FL 32746
Phone (407) 333-8240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1225114838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22653",
"city": "TAMPA",
"state": "FL",
"postal_code": "336222653",
"telephone_number": "407-585-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 WALLACE CT",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462177",
"telephone_number": "407-585-1480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LAKE MARY FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "MCDOWELL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "407-585-1479",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "FL",
"license": "3273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400105200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00174428",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CITY OF LAKE FIRE RESCUE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CITY OF LAKE FIRE RESCUE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.