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NPI Code Detail

MEDICARE: INTEGRATED EMERGENCY MEDICINE SPECIALISTS LLC

MEDICARE: INTEGRATED EMERGENCY MEDICINE SPECIALISTS LLC
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 : 1144792045
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATED EMERGENCY MEDICINE SPECIALISTS LLC
Provider Business Mailing Address
First Line : PO BOX 10569
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32120-0569
Country : US
Telephone Number : 386-274-7800
Fax Number : 386-274-7801
Provider Business Practice Location Address
First Line : 8300 COLLIER BLVD
Second Line :
City : NAPLES
State : FL
Zip : 34114-3549
Country : US
Telephone Number : 239-354-6000
Fax Number : 386-274-7801
Authorized Official
Title or Position : CFO
Name : BRETT MCINTYRE
Credential :
Telephone Number : 850-602-0625
Provider Enumeration Date : 12/18/2018
Last Update Date : 12/29/2025

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Practice Location Address:
8300 COLLIER BLVD
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34114-3549
Practice Phone: 239-354-6000
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1487651592 — TODD E CARLSON M.D.
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1558314435 — FRANK TRESGALLO MD
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1811921729 — DR. SUNIL RAMESH PANDYA MD
Practice Location Address:
8300 COLLIER BLVD FL 1
NAPLES, FL
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Practice Fax:
1053402354 — DR. MARY ANN CAMPBELL M.D.
Practice Location Address:
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1376618926 — JORGE MUJICA MD
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