# LIFEFLEET SOUTHEAST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** American Medical Response
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740577550
- **Authorized official:** TIMOTHY DORN (CFO)
- **Authorized official phone:** (303) 495-1517

## Contact information

- **Practice address:** 305 MAIN ST, AUBURNDALE, FL 33823-4113
- **Practice address phone:** (813) 885-3955
- **Practice address fax:** (813) 885-5844
- **Mailing address:** PO BOX 402079, ATLANTA, GA 30384-2079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |
| 3416L0300X | Land Ambulance | — | — | — |

## Other

- **Enumeration date:** 06/30/2011
- **Last updated:** 08/22/2019