Lifefleet Southeast, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LIFEFLEET SOUTHEAST, INC.

Doing business as

American Medical Response

Practice address

305 Main St
Auburndale, FL 33823-4113

Phone

(813) 885-3955

Fax

(813) 885-5844

NPI assigned

Jun 30, 2011

Last updated

Aug 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Dorn

Title

Cfo

Phone

(303) 495-1517

Specialties & licenses 2

Addresses

Other names 1

• American Medical Response Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Lifefleet Southeast Inc

  dba American Medical Response

  • Ambulance
  • Tampa, FL
  • NPI 1598715716

  O20120103000510

  Same enrollment

Locations

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1740577550",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAIN ST",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338234113",
            "telephone_number": "813-885-3955",
            "fax_number": "813-885-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFLEET SOUTHEAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-495-1517"
    },
    "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": [],
    "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"
        }
    ]
}

• Leonard Leblanc
• Level 217 Solutions LLC
• Emanuel Levy
• Stephanie Lewis
• Valerie Denise Lewis, RN
• Erich Lindgren, DC
• Ellen Lockwood, ARNP
• Lomba MD, PA
• Marlene Lopez-Hyde, LPN
• Los Abuelos FL

• Ambulance in Auburndale, FL
• Providers in Auburndale, FL by specialty
• Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.