NPI 1336753722

Legacy of N. Fl.

Organisation Land Ambulance Lake City, FL

Practice location

Address: 165 NW Open CT, Lake City, FL 32055-7191
Phone: (386) 243-0074
Fax: (386) 243-3876
Mailing address: 1468 SW Main Blvd STE 105-5, Lake City, FL 32025-1115

Authorised official

Name: Michael Duane Minton
Title: Owner
Phone: (386) 243-0074

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X

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Registry record

NPI: 1336753722
Entity type: Organization
NPI issued: 2 Sep 2020
Record last updated: 27 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.