Healthcare Provider Details

I. General information

NPI: 1679804835
Provider Name (Legal Business Name): ERMD EMERGENCY ROOM MEDICAL DOCTORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2010
Last Update Date: 04/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10621 N KENDALL DR SUITE 101
MIAMI FL
33176-8708
US

IV. Provider business mailing address

PO BOX 650308
MIAMI FL
33265-0308
US

V. Phone/Fax

Practice location:
  • Phone: 305-229-3848
  • Fax: 305-220-4578
Mailing address:
  • Phone: 305-229-3848
  • Fax: 305-220-4578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberME0064467
License Number StateFL

VIII. Authorized Official

Name: VENUS DE FERIA
Title or Position: ASSISTANT OFFICE MANAGER
Credential:
Phone: 305-229-3848