Healthcare Provider Details

I. General information

NPI: 1033158092
Provider Name (Legal Business Name): EMERGENCY MEDICINE SPECIALISTS PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8383 N DAVIS HWY
PENSACOLA FL
32514-6039
US

IV. Provider business mailing address

DEPT AT 952627
ATLANTA GA
31192-2627
US

V. Phone/Fax

Practice location:
  • Phone: 850-494-4000
  • Fax:
Mailing address:
  • Phone: 850-476-8602
  • Fax: 850-474-3518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MICHAEL DUPUIS
Title or Position: PRESIDENT
Credential:
Phone: 850-494-4000