MEDICARE: TOP TIER EMERGENCY PHYSICIANS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	363L00000X	Nurse Practitioner
3	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1205200508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP TIER EMERGENCY PHYSICIANS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 80043
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2339 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-4102
Country	:	US
Telephone Number	:	469-401-2386
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	TENNA BYRNE, M.D.
Credential	:
Telephone Number	:	469-401-2386

Provider Enumeration Date	:	11/24/2015
Last Update Date	:	11/24/2015

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