Lifeguard Air Ambulance, Inc

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

150709 Issued in FL

Legal business name

LIFEGUARD AIR AMBULANCE, INC

Practice address

4211 Jerry L Maygarden Rd
Pensacola, FL 32504-5029

Phone

(850) 473-6776

Fax

(850) 473-6772

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Flake

Title

Flight Coordinator

Phone

(850) 473-6776

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1962582569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325620487",
            "telephone_number": "850-473-6776",
            "fax_number": "850-473-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 JERRY L MAYGARDEN RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045029",
            "telephone_number": "850-473-6776",
            "fax_number": "850-473-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD AIR AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "FLAKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "FLIGHT COORDINATOR",
        "authorized_official_telephone_number": "850-473-6776",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "FL",
            "license": "150709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danil Libin, PHARM D
• Life Care Companions of Northwest Florida
• Life in Motion Health and Wellness
• Life Net Management Institute
• Life Solutions Counseling Services LLC
• Lifeguard International
• Lifeline Pensacola, LLC
• Lynn E Lightfoot, PH.D.
• Susan W Lightfoot, MHC
• Lighthouse Health Plan, LLC

• Air Ambulance in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Air Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.