Organization Active NPI

Panther Mountain Enterprises

  • Non-emergency Medical Transport (VAN)
  • Lake Wales, FL
National Provider Identifier
1346128246
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PANTHER MOUNTAIN ENTERPRISES
Practice address
9151 Cypresswood Dr
Lake Wales, FL 33898-7217
Phone
(863) 412-6434
NPI assigned
Aug 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
John Kincaid Jr.
Title
Ceo
Phone
(863) 412-6434

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

9151 Cypresswood Dr
Lake Wales, FL 33898-7217

Mailing address

470 Citi Ctr St Ste 1262
Winter Haven, FL 33880-3425
Phone (863) 412-6434

National Provider Directory

National Provider Directory

Locations

470 Citi Ctr St
Winter Haven, FL 33880
Phone (321) 429-6009

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1346128246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 CITI CTR ST STE 1262",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803425",
            "telephone_number": "863-412-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 CYPRESSWOOD DR",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338987217",
            "telephone_number": "863-412-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTHER MOUNTAIN ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-412-6434",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.