Lake-Sumter Emergency Medical Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2513 Issued in FL

Legal business name

LAKE-SUMTER EMERGENCY MEDICAL SERVICES

Practice address

2761 W Old US Highway 441
Mount Dora, FL 32757-3500

Phone

(352) 383-4554

Fax

(352) 385-9063

NPI assigned

Sep 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bryan Porter Andrews

Title

PFS Manager

Phone

(352) 385-2530

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LAKE-SUMTER EMS Other name

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1316931512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 W OLD US HWY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573500",
            "telephone_number": "352-383-4554",
            "fax_number": "352-385-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 W OLD US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573500",
            "telephone_number": "352-383-4554",
            "fax_number": "352-385-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE-SUMTER EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "PORTER",
        "authorized_official_title_or_position": "PFS MANAGER",
        "authorized_official_telephone_number": "352-385-2530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "2513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400077300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE-SUMTER EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lake County Adult Activity Center Inc
• Lake Emergency Medical Services, Inc.
• Lake Pediatrics P. a.
• Lake Pediatrics P. a.
• Lake Sumpter Orthopedic
• Lakeside Family Medicine, P.a.
• Lakeview Internal Medicine P a
• Lillian Lam
• Alyssa Landry, LMFT, LMHC
• Jackeline Laura Lara, LMHC

• Land Ambulance in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.