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NPI Code Detail

MEDICARE: WILLSTOWN EMERGENCY PHYSICIANS

MEDICARE: WILLSTOWN EMERGENCY PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1003081753
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLSTOWN EMERGENCY PHYSICIANS
Provider Business Mailing Address
First Line : 18167 US HIGHWAY 19 N
Second Line :
City : CLEARWATER
State : FL
Zip : 33764-3528
Country : US
Telephone Number : 800-507-3633
Fax Number : 727-507-3618
Provider Business Practice Location Address
First Line : 200 MEDICAL CENTER DR SW
Second Line :
City : FORT PAYNE
State : AL
Zip : 35968-3458
Country : US
Telephone Number : 259-997-2305
Fax Number : 256-997-2507
Authorized Official
Title or Position : GENERAL PARTNER
Name : MR. JAMES L MURPHY
Credential :
Telephone Number : 800-507-8874
Provider Enumeration Date : 04/24/2008
Last Update Date : 06/30/2008

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Directions to “WILLSTOWN EMERGENCY PHYSICIANS ” Practice Location

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