Organization Active NPI

City of Lake Mary Florida

Doing business as City of Lake Fire Rescue

  • Ambulance
  • Lake Mary, FL
National Provider Identifier
1225114838
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3273 Issued in FL
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
400105200MedicaidFL
P00174428OtherFLRAILROAD MEDICARE

Other names 1

  • CITY OF LAKE FIRE RESCUE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000473 FL Part B Supplier - Ambulance Service Supplier 9133210131 Practice locations: Lake Mary, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.