Healthcare Provider Details

I. General information

NPI: 1639008337
Provider Name (Legal Business Name): LOTUS MEDICAL TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5251 AIRPORT BLVD
BARTOW FL
33830-6615
US

IV. Provider business mailing address

5251 AIRPORT BLVD
BARTOW FL
33830-6615
US

V. Phone/Fax

Practice location:
  • Phone: 863-533-3007
  • Fax: 863-900-1394
Mailing address:
  • Phone: 863-533-3007
  • Fax: 863-900-1394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHEREE ANN MYERS
Title or Position: OWNER
Credential: LPN
Phone: 863-397-0961