Healthcare Provider Details

I. General information

NPI: 1255435475
Provider Name (Legal Business Name): FMC EMERGENCY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 W OAKLAND PARK BLVD FMC EMERGENCY SOLUTIONS LLC
LAUDERDALE LAKES FL
33313-1503
US

IV. Provider business mailing address

2828 CROASDAILE DR FMC EMERGENCY SOLUTIONS, LLC
DURHAM NC
27705-2505
US

V. Phone/Fax

Practice location:
  • Phone: 954-730-2895
  • Fax:
Mailing address:
  • Phone: 877-751-1157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME39895
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN MARTIN SCOTT
Title or Position: OWNER
Credential: MD
Phone: 877-751-1157