Healthcare Provider Details

I. General information

NPI: 1346430626
Provider Name (Legal Business Name): GREATER FLORIDA EMERGENCY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 N FLAGLER DR
WEST PALM BEACH FL
33401-3406
US

IV. Provider business mailing address

PO BOX 100724
ATLANTA GA
30384-0724
US

V. Phone/Fax

Practice location:
  • Phone: 561-655-5511
  • Fax: 770-874-6833
Mailing address:
  • Phone: 770-874-5400
  • Fax:

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: ROGER P MURRAY
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 770-874-5400