Healthcare Provider Details

I. General information

NPI: 1437163219
Provider Name (Legal Business Name): OCOEE EMERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 MEDICAL CENTER DRIVE
COPPERHILL TN
37317
US

IV. Provider business mailing address

PO BOX 41479
PHILADELPHIA PA
19101-1479
US

V. Phone/Fax

Practice location:
  • Phone: 423-496-5511
  • Fax:
Mailing address:
  • Phone: 800-355-0808
  • Fax:

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: MR. JAMES L MURPHY
Title or Position: EVP, EPP, INC., GENERAL PARTNER
Credential:
Phone: 800-362-2731