Active NPI
Lifefleet Southeast Inc
Doing business as American Medical Response
- Ambulance
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q117551 | Medicaid | TN | |
| 088060401 | Medicaid | FL | |
| 104627797 | Medicaid | PA |
Other names 1
- American Medical Response
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba American Medical Response
- Ambulance
- Auburndale, FL
- NPI 1740577550
O20120103000510
National Provider Directory
National Provider DirectoryLocations
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
- Life Vision's LLC. (Life Vision's Assisted Living and Quality Care)
- Life's Hope Care Home Inc
- Lifecare Fusion Home Health LLC (Fusion Healthcare)
- Lifecare Home Inc (Oakland Manor Alf)
- Lifecare Medical Equipments LLC
- Lifeline Chiropractic, Inc.
- Lifelink Foundation Inc (LifeLink of Florida)
- Lifelink Foundation Inc (LifeLink Immunology Laboratory)
- Lifelink Healthcare Institute Inc
- Lifeshare Management Group, Inc
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.