Ford Type III ambulance and Learjet 60 air ambulance on a Florida tarmac

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.

Prefer to talk now? Call (305) 539-9920.

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.

01

Railroad Consulting

Expert guidance on railroad operations, safety compliance, contractor requirements and workforce readiness for companies entering or expanding in the rail industry.

02

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.

03

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.

04

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.

05

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.

06

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.

07

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.

See the mobile app

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.

See the kiosk

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.

See the luxury app

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.

Modern private ambulance outside a medical facility

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.

13 Years
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.
Step by Step
Guided Process
We take you from formation through permitting, enrollment, and credentialing. You know what comes next at every stage.
1 on 1
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.

September 2026

SMTWTFS

Appointment time (Eastern)

Choose a day and a time to continue.

How should we meet?

Consultations are billed hourly; the rate is quoted and confirmed before your appointment. You’ll get a reference number right away, and we’ll call you at the time you picked.

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.

Ford Type III ambulance and Learjet 60 air ambulance on an airport tarmac in Florida daylight
Learjet 60 air ambulance crew loading a stretcher in daylight

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) 539-9920

Let’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.