MEDICARE: CENTRAL FLORIDA AMBULANCE, INC.

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	2569	FL

General Provider Information

NPI Number	:	1932102845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL FLORIDA AMBULANCE, INC.

Provider Business Mailing Address
First Line	:	3747 SILVER STAR RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-4627
Country	:	US
Telephone Number	:	407-822-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3747 SILVER STAR RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-4627
Country	:	US
Telephone Number	:	407-822-3700
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MR. WALTER F EISMANN III
Credential	:
Telephone Number	:	407-822-3700

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/22/2020

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