MEDEVAC, LLC (NPI# 1255322236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255322236 |
| Entity Type | Organization |
| Organization Name | MEDEVAC, LLC |
| Practice Address |
424 Down Pine Drive Seffner FL 33584-3719 |
| Mailing Address |
Po Box 654 Mango FL 33550-0654 |
| Practice Telephone | 8136333822 |
| Mailing Telephone | 8136333822 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | E FRANK GRISWOLD III (PRESIDENT / CEO) |
| Authorized Official Telephone | 8136333822 |
| Authorized Official Credential | MBA, RRT, EMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
FL | Suppliers | |
| N | 341600000X | Ambulance | FL | Transportation Services | |
| N | 3416A0800X |
Ambulance Specialization: Air Transport |
FL | Transportation Services | |
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
FL | Transportation Services | |
| N | 343900000X | Non-emergency Medical Transport (VAN) | FL | Transportation Services | |
| Y | 333300000X | Emergency Response System Companies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | FEDERAL CONTRACTOR CAGE CODE | 46Y26 | 01 |
| Street Address |
424 DOWN PINE DRIVE |
| City | SEFFNER |
| State | FL |
| Zip Code | 33584-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555442 | Dipal Surendra Desai | Pharmacist | 11720 Dr Martin Luther King Boulevard, Seffner, FL 33584 | 2019-03-01 |
| 1508395997 | Patricia R Philbert | Clinic/Center | 311 Carriage Oak Place, Seffner, FL 33584 | 2017-06-08 |
| 1225584824 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 11782 E Dr. Mlk Jr. Blvd, Seffner, FL 33584 | 2016-09-01 |
| 1023564903 | Georges Raffoul | Dentist | 2744 South Florida Ave, Lakeland, FL 33584 | 2016-08-30 |
| 1407302771 | Ashari Taylor | Physical Therapy Assistant | 11754 E Dr Mlk Jr Blvd, Seffner, FL 33584 | 2016-08-28 |
| 1235547043 | Foot & Ankle of Tampa Bay, Pllc | Podiatrist | 2204 S. Parson Ave, Seffner, FL 33584 | 2014-07-24 |
| 1205108990 | Brenda Thuy Dang-nguyen | Pharmacist | 11115 E Dr Mlk Jr Blvd, Seffner, FL 33584 | 2012-01-27 |
| 1205106895 | Joy Aclan | Pharmacist | 11115 E Dr. Martin Luther King Jr Blvd, Seffner, FL 33584 | 2012-01-12 |
| 1366748659 | Sarah Marilyn Ball | Massage Therapist | 2027 S. Parsons Ave., Seffner, FL 33584 | 2011-02-03 |
| 1386814366 | Total Orthopedic Rehabilitation, Inc | Chiropractor | 1115 Dr Martin Luther King Junior Blvd, Seffner, FL 33584 | 2008-03-06 |
| Find all providers in zip 33584 | ||||
| Taxonomy Code | 333300000X |
| Grouping | Suppliers |
| Classification | Emergency Response System Companies |
| A supplier of a personal emergency response system (PERS), which is an electronic device that enables a patient to receive emergency assistance when needed. The PERS is one of two different methodologies of notification: (1) where the patient summons emergency assistance themselves directly through the device or (2) emergency assistance is summoned through secure activation by the caretaker/guardian, which sends the device location to emergency responders. |
| Notes: Source: National Uniform Claim Committee, 2010 [7/1/2010: modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871058024 | Iona Mcgregor Fire Control & Rescue Service District | Emergency Response System Companies | 6061 S Pointe Blvd, Fort Myers, FL 33919-4899 | 2019-02-01 |
| 1275015505 | B & B Monitoring LLC | Emergency Response System Companies | 4474 Weston Road, Suite 3, Ft Lauderdale, FL 33331 | 2018-09-04 |
| 1245710938 | William Hugh Munroe | Emergency Response System Companies | 1882 Capital Cir Ne Ste 104, Tallahassee, FL 32308-4568 | 2018-08-21 |
| 1376087262 | First Capital Solutions, LLC | Emergency Response System Companies | 6081 W Suburban Dr, Pinecrest, FL 33156-1920 | 2016-12-12 |
| 1124422027 | City of Satellite Beach | Emergency Response System Companies | 1390 S Patrick Dr, Satellite Beach, FL 32937-4380 | 2014-10-21 |
| 1295156024 | First Step Development Group | Emergency Response System Companies | 455 Ne 5th Ave Ste D304, Delray Beach, FL 33483-5658 | 2013-12-20 |
| 1548693559 | Medical Services of America Inc | Emergency Response System Companies | 2112 Sarno Rd, Melbourne, FL 32935-3002 | 2013-08-13 |
| 1982044079 | Medical Services of America Inc | Emergency Response System Companies | 5011 Luckett Rd, Unit 2, Fort Myers, FL 33905-4424 | 2013-07-03 |
| 1124468608 | Medical Services of America Inc | Emergency Response System Companies | 8641 Baypine Rd, Ste 2, Jacksonville, FL 32256-7515 | 2013-06-28 |
| 1790125326 | Medical Services of America Inc | Emergency Response System Companies | 17844 Ashley Dr, Ste 100, Panama City Beach, FL 32413-5001 | 2013-06-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.