Lifeguard Ambulance Service of Florida, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LIFEGUARD AMBULANCE SERVICE OF FLORIDA, LLC

Practice address

4340 Avalon Blvd
Milton, FL 32583-2858

Phone

(850) 983-3000

NPI assigned

Jan 23, 2007

Last updated

Oct 8, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

LIFEGUARD AMBULANCE SERVICE OF FLORIDA, LLCAs reported in NPPES

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

Authorized official

Name

Brian Scott Tierney

Title

Evp, Chief Financial Officer

Phone

(833) 703-2294

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Lifeguard Ambulance Service of Florida LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lifeguard Ambulance Service LLC

  • Land Ambulance
  • Batesville, MS
  • NPI 1528596814

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1972657914",
    "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",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 AVALON BLVD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325832858",
            "telephone_number": "850-983-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD AMBULANCE SERVICE OF FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEGUARD AMBULANCE SERVICE OF FLORIDA, LLC",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010922600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004826004",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108334",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003145734B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Paige Lemoine, MD
• Bach-Uyen Lethi, M.D.
• Del Lewis
• Kari Lewis
• Nicole Ann Libert
• Lifelong Behavioral Services, LLC
• Lifesource of North Carolina
• Diana Lynn Ligtenberg, APRN
• Christon Lin, DMD
• Ancil Lindley, MD

• Land Ambulance in Milton, FL
• Providers in Milton, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.