Organization
LAKE-SUMTER EMERGENCY MEDICAL SERVICES
Active
Other names
LAKE-SUMTER EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN PORTER ANDREWS (PFS MANAGER)
(352) 385-2530
Entity
Organization
Contact information
Practice address
2761 W OLD US HIGHWAY 441, MOUNT DORA, FL 32757-3500
(352) 383-4554
(352) 385-9063
Mailing address
2761 W OLD US HWY 441, MOUNT DORA, FL 32757-3500
(352) 383-4554
(352) 385-9063
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400077300
—
FL
Enumeration date
09/02/2005
Last updated
04/08/2014
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