MEDICARE: FLORIDA AMBULANCE SERVICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1518615830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA AMBULANCE SERVICE LLC

Provider Business Mailing Address
First Line	:	1030 SPRING VILLAS PT
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5242
Country	:	US
Telephone Number	:	407-620-7232
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 QUADRANGLE BLVD STE 260
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-8329
Country	:	US
Telephone Number	:	407-620-7232
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAMIN EKBATANI
Credential	:
Telephone Number	:	407-620-7232

Provider Enumeration Date	:	03/15/2022
Last Update Date	:	12/06/2024

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Directions to “FLORIDA AMBULANCE SERVICE LLC ” Practice Location

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