Organization Active NPI

City of Maitland

  • Ambulance
  • Maitland, FL
National Provider Identifier
1942306071
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3177 Issued in FL
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

Updated by the provider on Jul 15, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
400064100MedicaidFL
590014784OtherFLRAILROAD MEDICARE

Other names 1

  • CITY OF MAITLAND OFFICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151002000248 FL Part B Supplier - Ambulance Service Supplier 6204144777 Practice locations: Maitland, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.