Healthcare Provider Details

I. General information

NPI: 1831184845
Provider Name (Legal Business Name): JACKSONVILLE EMERGENCY CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 06/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 UNIVERSITY BLVD S
JACKSONVILLE FL
32216-4207
US

IV. Provider business mailing address

PO BOX 860554
ORLANDO FL
32886-0554
US

V. Phone/Fax

Practice location:
  • Phone: 904-399-6811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAYMOND GYARMATHY
Title or Position: PRESIDENT
Credential: MD
Phone: 904-641-6628