Organization
COUNTY OF LAFAYETTE OFFICE CLERK BOARD COUNTY COMMISSIONERS
Active
Other names
Lafayette County Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR MARTIN TOMPKINS PMD (EMS DIRECTOR)
(386) 294-1633
Entity
Organization
Contact information
Practice address
136 S.E. INDUSTRIAL AVENUE, MAYO, FL 32066
(386) 294-1633
(386) 294-4242
Mailing address
PO BOX 88, MAYO, FL 32066-0088
(386) 294-1633
(386) 294-4242
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
2655
FL
341600000X
Ambulance
2915
FL
341600000X
Ambulance
Primary
2978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220145
AVMED HEALTH PLAN
FL
05
—
400118400
—
FL
01
—
A0600
BLUE CROSS / BLUE SHIELD
FL
01
—
SG1611
METCARE HEALTH PLANS, INC
FL
Enumeration date
06/22/2007
Last updated
07/30/2025
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