Organization Active NPI

Lifefleet Southeast Inc

Doing business as American Medical Response

  • Ambulance
  • Tampa, FL
National Provider Identifier
1598715716
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
LIFEFLEET SOUTHEAST INC
Doing business as
American Medical Response
Practice address
4531 Oak Fair Blvd
Tampa, FL 33610-7357
Phone
(813) 885-3955
NPI assigned
May 10, 2006
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Brian Scott Tierney
Title
Evp, Chief Financial Officer
Phone
(833) 703-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary
Land Ambulance 3416L0300X NU

Addresses

Primary practice location

4531 Oak Fair Blvd
Tampa, FL 33610-7357

Mailing address

PO Box 402079
Atlanta, GA 30384-2079
Phone (800) 913-9106

Other identifiers 3

IdentifierTypeStateIssuer
Q117551MedicaidTN
088060401MedicaidFL
104627797MedicaidPA

Other names 1

  • American Medical Response Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120103000510 FL Part B Supplier - Ambulance Service Supplier 2860445947 1 other NPI on this enrollment
Practice locations: Auburndale, FL; Hudson, FL; Orlando, FL; Tampa, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1163 Berkley Rd
Auburndale, FL 33823
Phone (863) 551-3537

950 N Main St
Bushnell, FL 33513
Phone (352) 563-0320

13910 Fivay Rd
Hudson, FL 34667
Phone (727) 271-0052

4728 Old Winter Garden Rd
Orlando, FL 32811
Phone (407) 578-3605

4531 Oak Fair Blvd
Tampa, FL 33610
Phone (813) 885-3955

4914 W Knox St
Tampa, FL 33634
Phone (813) 885-3955

4915 W Knox St
Tampa, FL 33634
Phone (813) 885-3955

218 Hanchey Rd
Wauchula, FL 33873
Phone (863) 773-6211

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1598715716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842079",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 OAK FAIR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107357",
            "telephone_number": "813-885-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFLEET SOUTHEAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q117551",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088060401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104627797",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

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