Healthcare Provider Details

I. General information

NPI: 1144792045
Provider Name (Legal Business Name): INTEGRATED EMERGENCY MEDICINE SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 COLLIER BLVD
NAPLES FL
34114-3549
US

IV. Provider business mailing address

PO BOX 10569
DAYTONA BEACH FL
32120-0569
US

V. Phone/Fax

Practice location:
  • Phone: 239-354-6000
  • Fax: 386-274-7801
Mailing address:
  • Phone: 386-274-7800
  • Fax: 386-274-7801

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: BRETT MCINTYRE
Title or Position: CFO
Credential:
Phone: 850-602-0625