MEDICARE: SEBRING 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821045048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEBRING EMERGENCY PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	861 SW 78TH AVE
Second Line	:	SUITE #100B
City	:	PLANTATION
State	:	FL
Zip	:	33324-3229
Country	:	US
Telephone Number	:	954-693-0000
Fax Number	:	954-693-0005

Provider Business Practice Location Address
First Line	:	3600 S HIGHLANDS AVE
Second Line	:	EMERGENCY DEPARTMENT
City	:	SEBRING
State	:	FL
Zip	:	33870-5416
Country	:	US
Telephone Number	:	863-385-6101
Fax Number	:	863-385-7509

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. DAVID SCOTT SCHILLINGER
Credential	:	M.D.
Telephone Number	:	954-981-6383

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	08/05/2008

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