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NPI Code Detail

MEDICARE: GUIDEWELL EMERGENCY MEDICINE DOCTORS

MEDICARE: GUIDEWELL EMERGENCY MEDICINE DOCTORS
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
1261QU0200XUrgent Care Clinic/CenterFL

General Provider Information

NPI Number : 1386036069
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUIDEWELL EMERGENCY MEDICINE DOCTORS
Provider Business Mailing Address
First Line : 4800 DEERWOOD CAMPUS PKWY FL DC1004
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-8317
Country : US
Telephone Number : 904-885-2413
Fax Number :
Provider Business Practice Location Address
First Line : 1706 N SEMORAN BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32807
Country : US
Telephone Number : 904-424-3843
Fax Number :
Authorized Official
Title or Position : VP OF OPERATIONS
Name : KAREN WALKER
Credential :
Telephone Number : 904-885-2413
Provider Enumeration Date : 03/04/2015
Last Update Date : 06/18/2024

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Directions to “GUIDEWELL EMERGENCY MEDICINE DOCTORS ” Practice Location

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