Healthcare Provider Details

I. General information

NPI: 1467688739
Provider Name (Legal Business Name): FLORIDA EM-I MEDICAL SERVICES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2009
Last Update Date: 06/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5731 BEE RIDGE RD
SARASOTA FL
34233-5056
US

IV. Provider business mailing address

18167 US HIGHWAY 19 N SUITE 650
CLEARWATER FL
33764-3528
US

V. Phone/Fax

Practice location:
  • Phone: 941-342-1130
  • Fax: 941-342-1076
Mailing address:
  • Phone: 727-507-3633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. TERRY R MEADOWS
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 800-507-8874