Active NPI
City of Maitland
- Ambulance
- Maitland, FL
National Provider Identifier
1942306071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3177
- Legal business name
- CITY OF MAITLAND
- Doing business as
- CITY OF MAITLAND OFFICE
- Practice address
- 1776 Independence LN
Maitland, FL 32751-5639 - Phone
- (407) 539-6226
- Fax
- (407) 599-0858
- NPI assigned
- Sep 16, 2006
- 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
- Gerald Gray
- Title
- Finance Director
- Phone
- (407) 539-6201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3177 | FL | Primary |
Addresses
Primary practice location
1776 Independence LN
Maitland, FL 32751-5639
Mailing address
PO Box 941086
Maitland, FL 32794-1086
Phone (407) 539-6226
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400064100 | Medicaid | FL | |
| 590014784 | Other | FL | RAILROAD MEDICARE |
Other names 1
- CITY OF MAITLAND OFFICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151002000248 | FL | Part B Supplier - Ambulance Service Supplier | 6204144777 | Practice locations: Maitland, FL |
National Provider Directory
National Provider DirectoryLocations
1776 Independence Ln
Maitland, FL 32751
Phone (407) 539-6226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752537600000",
"number": "1942306071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 941086",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327941086",
"telephone_number": "407-539-6226",
"fax_number": "407-599-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 INDEPENDENCE LN",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515639",
"telephone_number": "407-539-6226",
"fax_number": "407-599-0858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MAITLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "407-539-6201"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "FL",
"license": "3177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400064100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590014784",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CITY OF MAITLAND OFFICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.