Organization Active NPI

Specialized Event Services, LLC.

  • Land Ambulance
  • Mayo, FL
National Provider Identifier
1689495558
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SPECIALIZED EVENT SERVICES, LLC.
Practice address
1420 W Main St
Mayo, FL 32066-4189
Phone
(386) 804-9337
NPI assigned
Oct 22, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Mr. Greg Melvin, PMD
Title
Owner
Phone
(386) 804-9337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

1420 W Main St
Mayo, FL 32066-4189

Mailing address

1420 W Main St
Mayo, FL 32066-4189
Phone (386) 804-9337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241217002381 FL Part B Supplier - Ambulance Service Supplier 6901333855 Practice locations: Mayo, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2315331Specialized Event Services LLC1420 W Main Street, Mayo, FL 32066Certificate of waiverDec 10, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1689495558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W MAIN ST",
            "city": "MAYO",
            "state": "FL",
            "postal_code": "320664189",
            "telephone_number": "386-804-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W MAIN ST",
            "city": "MAYO",
            "state": "FL",
            "postal_code": "320664189",
            "telephone_number": "386-804-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED EVENT SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-804-9337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMD"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.