# COUNTY OF LAKE OFFICE CLERK BOARD COUNTY COMMISSIONERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Emergency Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811476930
- **Authorized official:** MR. TIMOTHY I. SULLIVAN (BOARD CHAIRMAN)
- **Authorized official phone:** (352) 343-9850

## Contact information

- **Practice address:** 315 W MAIN ST, TAVARES, FL 32778-3813
- **Practice address phone:** (352) 343-9850
- **Mailing address:** 315 W MAIN ST, TAVARES, FL 32778-3813
- **Mailing address phone:** (352) 343-9850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 10007 | FL | Yes |

## Other

- **Enumeration date:** 08/09/2018
- **Last updated:** 08/09/2018