
Turnkey air & ground operations
Equipped and staffed companies available nationwide. Certificates and licenses do not transfer automatically, so every sale is structured with the transfer or reissue requirements of the FAA and the state in writing.
Private air & ground ambulance business consulting
Experts in air ambulance
& ground ambulance startups.
Advisors who have served as fire chiefs and county commissioners, working alongside outside counsel.
We consult from the start-up phase forward — or sell you an already-built air or ground ambulance company.
Reliability, exceptional service and excellence. No runaround.
2-3 Wks
Typical build time for your branded TNC and NEMT mobile app
Nationwide
Air and ground ambulance consulting and acquisitions across the United States
13 Yrs
In EMS and the fire service, plus additional years in business consulting
What we do
Seven ways we get you operating.
Railroad Consulting
Expert guidance on railroad operations, safety compliance, contractor requirements and workforce readiness for companies entering or expanding in the rail industry.
Jet Charter to Air Ambulance Transition
Transition an existing jet charter operation into a fully compliant air ambulance service — state EMS legal compliance, licensing the aircraft, and sourcing and staffing qualified flight crew anywhere in the United States.
TNC & NEMT Mobile Apps
Build your own TNC and NEMT mobile app on a digital platform — ambulance and air ambulance dispatch included — just like the well-known rideshare apps. Typical turnaround 2-3 weeks. NEMT kiosks also available; contact us for prices.
Ambulance Startup From Scratch
Launch a ground ambulance company from day one — entity formation, state licensing and permitting, vehicles and equipment, staffing, policies, payer enrollment and credentialing.
Air Ambulance Startup From the Ground Up
Build an air ambulance operation from the ground up — aircraft acquisition and licensing, state EMS approvals, medical crew and pilots, medical direction, protocols and operational readiness.
Luxury TNC Mobile App
A branded luxury ride app on the same digital platform, built for black car, executive and concierge transportation. Operate under Florida's statewide transportation network framework with one dispatch system, your own drivers and full control of pricing, bookings and service standards.
NEMT Licensing & Permitting
Licensing, permitting and consultation for non-emergency medical transportation in the state you plan to operate in.
TNC & NEMT Mobile App Platform
Your own rideshare-style rider app, driver app and dispatch console for NEMT, ambulance and air ambulance trips. Typically built in 2-3 weeks.
NEMT & Private Ambulance Kiosk
A self-service booking terminal for NEMT and private ambulance providers, placed in hospitals, dialysis centers and nursing facilities — connected live to your dispatch.
Luxury TNC Mobile App
A branded black car and executive ride app for Florida operators, with permits, inspections and driver credentials filed by our team and tracked in the platform.
COPCN permitting
We specialize in the toughest EMS permitting and licensing markets in Florida and throughout the US.
Our advisors include people who have served as county commissioners and fire chiefs, so we understand how county COPCN permits in Florida and ground ambulance licenses in other states are evaluated. We take on the hardest markets and build the case, the data and the strategy behind a strong application.
That work starts with establishing the need and necessity for a COPCN permit, especially inside Florida’s tightly controlled market, where counties limit how many operators can run. We know how that need is documented and defended.
Approvals rest with the county, the state and other regulators. No consultant can guarantee an outcome, and nothing here is legal advice. We do not lobby or appear before boards on a client’s behalf where doing so would require registration or is otherwise restricted; those matters are handled with outside counsel or a registered representative.
Advisors from the other side of the dais
Former county commissioners and fire chiefs who know how boards read an application.
Proving need & necessity
Data-backed county studies showing demand your application has to demonstrate.
Controlled Florida markets
Experience in counties that rarely issue new certificates — and how to get heard.
Ground ambulance licensing nationwide
State-by-state licensing for ground ambulance operations outside Florida.

About us
The Wolf of Transportation
We help people get into medical transportation and stay in it. From the first filing to the day your first unit rolls, we handle the licensing, permitting and paperwork that stops most operators before they ever start.
Our background is 13 years in EMS and the fire service, followed by years of building, licensing, running and selling ambulance and non-emergency medical transportation companies. We have sat through the same inspections, approval hearings and county boards you are about to face. We know where the delays come from, and we know how to avoid them.
Ground or air, startup or expansion, you work directly with the principal from the first call to the day you are operating. Same phone number, same person, every step.
Frank Ramos
Principal — Former Florida EMT and Firefighter
Why the Wolf
13 years in EMS. A direct path to your license.
We save you time and money getting into one of the most regulated markets in the country. Results vary by market and no outcome is guaranteed.
- Experience
- 13 years in EMS and the fire service, followed by additional years in business consulting. We have built, licensed, and sold NEMT and ambulance companies ourselves.
- Guided Process
- We take you from formation through permitting, enrollment, and credentialing. You know what comes next at every stage.
- Personal Attention
- You work directly with the principal, not a junior associate. One point of contact from start to finish.
Book an appointment
Pick a date and time to talk with us.
Choose a day, a time and the topic. You get a reference number on the spot, and we call you at the time you picked. Prefer to talk now? Call us directly.
Please note: consultations are not free. All levels of our consulting services are billed at an hourly rate, quoted and confirmed with you before your appointment begins.
Ground and air
One operation, every level of transport
From Type III ground units to Learjet 60 air ambulance missions, we help you build and run both sides of the business.


Air ambulance
Buy a company that is already flying.
We can help you start your own, or sell you a fully built and ready-to-operate air ambulance company — complete with equipment and all required staff — throughout the USA.
Call (305) 539-9920Let’s talk about getting your operation licensed and running.
We value open communication with our clients. If you have questions about our services or want to discuss your specific needs, reach out and we’ll be happy to assist you.
