Provider Demographics
NPI:1811784077
Name:TREES, ISAAC THOMAS (EMT)
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:THOMAS
Last Name:TREES
Suffix:
Gender:
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-6301
Mailing Address - Country:US
Mailing Address - Phone:352-250-4570
Mailing Address - Fax:
Practice Address - Street 1:4601 N JOHN YOUNG PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-1612
Practice Address - Country:US
Practice Address - Phone:407-822-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL565519146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic