Healthcare Provider Details

I. General information

NPI: 1881815843
Provider Name (Legal Business Name): NES OF FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 OVERSEAS HWY
MARATHON FL
33050-2329
US

IV. Provider business mailing address

PO BOX 403208
ATLANTA GA
30384-3208
US

V. Phone/Fax

Practice location:
  • Phone: 305-743-5533
  • Fax:
Mailing address:
  • Phone: 800-377-8721
  • Fax: 304-523-2241

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: MR. VINCENT MORRA
Title or Position: PRESIDENT, CEO
Credential:
Phone: 800-377-8721