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NPI Code Detail

MEDICARE: NES OF FLORIDA INC

MEDICARE: NES OF FLORIDA INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
172082OTHERFLBCBS GROUP
2CC1092OTHERFLRR MCR GROUP

General Provider Information

NPI Number : 1063407070
Entity Type Code : Organization
Provider Name (Legal Business Name) : NES OF FLORIDA INC
Provider Business Mailing Address
First Line : PO BOX 409036
Second Line :
City : ATLANTA
State : GA
Zip : 30384-9036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6500 W NEWBERRY RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-4309
Country : US
Telephone Number : 352-333-4900
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ARTHUR OSBERG
Credential : MD
Telephone Number : 888-689-1430
Provider Enumeration Date : 09/15/2005
Last Update Date : 04/20/2008

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Directions to “NES OF FLORIDA INC ” Practice Location

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