Organization Active NPI

City of Orlando

  • Land Ambulance
  • Orlando, FL
National Provider Identifier
1508167040
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3136 Issued in FL
Legal business name
CITY OF ORLANDO
Practice address
78 W Central Blvd
Orlando, FL 32801-2457
Phone
(407) 246-3125
Fax
(407) 246-2758
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Jason Revoldt
Title
Fire Chief
Phone
(407) 232-2920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3136 FL Primary

Addresses

Primary practice location

78 W Central Blvd
Orlando, FL 32801-2457

Mailing address

78 W Central Blvd
Orlando, FL 32801-2457
Phone (407) 246-3125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110302000455 FL Part B Supplier - Ambulance Service Supplier 6406037076 Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

900 N Fern Creek Ave
Orlando, FL 32803

12375 Lake Nona Gateway Rd
Orlando, FL 32827

1588 Park Center Dr
Orlando, FL 32835

3691 Millenia Blvd
Orlando, FL 32839

1818 S Orange Ave
Orlando, FL 32806

3113 E Robinson St
Orlando, FL 32803

4911 Curry Ford Rd
Orlando, FL 32812

2406 Elizabeth Ave
Orlando, FL 32804

5450 S Econlockhatchee Trl
Orlando, FL 32829

6651 Shoalcreek Dr
Orlando, FL 32812

78 W Central Blvd
Orlando, FL 32801
Phone (407) 246-3125

3464 5th St
Orlando, FL 32827

601 S Goldwyn Ave
Orlando, FL 32805

1215 W Robinson St
Orlando, FL 32805

3856 Center Loop
Orlando, FL 32808

5655 Vineland Rd
Orlando, FL 32819

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1508167040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 W CENTRAL BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012457",
            "telephone_number": "407-246-3125",
            "fax_number": "407-246-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 W CENTRAL BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012457",
            "telephone_number": "407-246-3125",
            "fax_number": "407-246-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "REVOLDT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "407-232-2920"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "3136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.