Lake Emergency Medical Services, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

ALS3503 Issued in FL

Legal business name

LAKE EMERGENCY MEDICAL SERVICES, INC.

Practice address

2761 West Old Highway 441
Mount Dora, FL 32757

Phone

(352) 383-4554

Fax

(352) 385-9063

NPI assigned

Aug 9, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Welton G. Cadwell

Title

Board Chairman

Phone

(352) 343-9850

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Lake Office Clerk Board County Commissioners

  dba Lake Emergency Medical Services

  • Ambulance
  • Tavares, FL
  • NPI 1811476930

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1497034318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 WEST OLD HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "32757",
            "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 WEST OLD HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "32757",
            "telephone_number": "352-383-4554",
            "fax_number": "352-385-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE EMERGENCY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "CADWELL",
        "authorized_official_first_name": "WELTON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "352-343-9850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "ALS3503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004071400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen S Kyle, OTR/L
• Dukens Labaze, M.D.
• Stephanie M Lacquaniti, D.M.D.
• Lake Cardiology PA
• Lake County Adult Activity Center Inc
• Lake Pediatrics P. a.
• Lake Pediatrics P. a.
• Lake Sumpter Orthopedic
• Lake-Sumter Emergency Medical Services
• Lakeside Family Medicine, P.a.

• 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 Jan 18, 2012; 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.