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NPI Code Detail

MEDICARE: SOUTH GULF COAST EMERGENCY PHYSICIANS PA

MEDICARE: SOUTH GULF COAST EMERGENCY PHYSICIANS PA
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
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2CC9721OTHERFLRR MCR GROUP
300240OTHERFLBCBS GROUP

General Provider Information

NPI Number : 1124013149
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH GULF COAST EMERGENCY PHYSICIANS PA
Provider Business Mailing Address
First Line : P.O. BOX 634748
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13681 DOCTORS WAY
Second Line :
City : FT MYERS
State : FL
Zip : 33912-4300
Country : US
Telephone Number : 239-768-8611
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. THOMAS SCHAAR
Credential : MD
Telephone Number : 866-266-9879
Provider Enumeration Date : 09/15/2005
Last Update Date : 03/04/2009

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Directions to “SOUTH GULF COAST EMERGENCY PHYSICIANS PA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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