Healthcare Provider Details

I. General information

NPI: 1003733031
Provider Name (Legal Business Name): ANTHONY LAMSON PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 BLACKSTONE CREEK RD
GROVELAND FL
34736-3622
US

IV. Provider business mailing address

177 BLACKSTONE CREEK RD
GROVELAND FL
34736-3622
US

V. Phone/Fax

Practice location:
  • Phone: 407-758-8662
  • Fax: 407-758-8662
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberPMD537048
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: