MEDICARE: BAY AREA EMERGENCY PHYSICIANS 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
1	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1184912354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY AREA EMERGENCY PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	300 S PARK RD
Second Line	:	SUITE 400
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-8593
Country	:	US
Telephone Number	:	800-815-8377
Fax Number	:

Provider Business Practice Location Address
First Line	:	149 DRINKWATER RD
Second Line	:
City	:	BAY SAINT LOUIS
State	:	MS
Zip	:	39520-1658
Country	:	US
Telephone Number	:	877-693-5700
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID S. SCHILLINGER
Credential	:	MD
Telephone Number	:	877-693-5700

Provider Enumeration Date	:	07/21/2011
Last Update Date	:	04/10/2014

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