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NPI Code Detail

MEDICARE: EMERGENT PHYSICIANS OF PALMETTO BAY, LLC

MEDICARE: EMERGENT PHYSICIANS OF PALMETTO BAY, 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 : 1639991912
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGENT PHYSICIANS OF PALMETTO BAY, LLC
Provider Business Mailing Address
First Line : 6200 SUNSET DR STE 302
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-4829
Country : US
Telephone Number : 786-888-8820
Fax Number :
Provider Business Practice Location Address
First Line : 8750 SW 144TH ST STE 100
Second Line :
City : PALMETTO BAY
State : FL
Zip : 33176-7229
Country : US
Telephone Number : 786-595-1850
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : GABRIELA PICADO
Credential :
Telephone Number : 786-888-8820
Provider Enumeration Date : 10/29/2024
Last Update Date : 03/28/2025

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Directions to “EMERGENT PHYSICIANS OF PALMETTO BAY, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.