Organization Active NPI

Metro EMS Ambulance Services, LLC

  • Land Ambulance
  • Kissimmee, FL
National Provider Identifier
1487430716
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
METRO EMS AMBULANCE SERVICES, LLC
Practice address
1004 Plaza Dr Ofc 101
Kissimmee, FL 34743-4069
Phone
(863) 307-8541
NPI assigned
Sep 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Jose Gautier, PMD
Title
Director
Phone
(863) 307-8541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1004 Plaza Dr Ofc 101
Kissimmee, FL 34743-4069

Mailing address

470 Citi Ctr St # 1129
Winter Haven, FL 33880-3425
Phone (863) 307-8541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231026003717 FL Part B Supplier - Ambulance Service Supplier 7416303482 Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

1004 Plaza Dr
Ofc 101
Kissimmee, FL 34743
Phone (863) 307-8541

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1487430716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 CITI CTR ST # 1129",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803425",
            "telephone_number": "863-307-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PLAZA DR OFC 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347434069",
            "telephone_number": "863-307-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EMS AMBULANCE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "GAUTIER",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-307-8541",
        "authorized_official_credential": "PMD"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.