MEDICARE: LEOPARD MEDICAL TRANSPORT, 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770995268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEOPARD MEDICAL TRANSPORT, LLC

Provider Business Mailing Address
First Line	:	PO BOX 3276
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34478-3276
Country	:	US
Telephone Number	:	352-732-6484
Fax Number	:	352-369-6077

Provider Business Practice Location Address
First Line	:	1848 NE JACKSONVILLE RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-4142
Country	:	US
Telephone Number	:	352-732-6484
Fax Number	:	352-369-6077

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JESSICA RILEY
Credential	:
Telephone Number	:	352-368-2089

Provider Enumeration Date	:	06/02/2014
Last Update Date	:	11/20/2024

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Directions to “LEOPARD MEDICAL TRANSPORT, LLC ” Practice Location

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