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NPI Code Detail

MEDICARE: LAKE CITY MEDICAL CENTER EMERGENCY PHYSICIANS, LLC

MEDICARE: LAKE CITY MEDICAL CENTER EMERGENCY PHYSICIANS, LLC
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

General Provider Information

NPI Number : 1407803257
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKE CITY MEDICAL CENTER EMERGENCY PHYSICIANS, LLC
Provider Business Mailing Address
First Line : 861 SW 78TH AVE
Second Line : SUITE #100B
City : PLANTATION
State : FL
Zip : 33324-3229
Country : US
Telephone Number : 954-693-0000
Fax Number : 954-693-0005
Provider Business Practice Location Address
First Line : 340 NW COMMERCE DR
Second Line : EMERGENCY DEPARTMENT
City : LAKE CITY
State : FL
Zip : 32055-4709
Country : US
Telephone Number : 386-719-9000
Fax Number : 386-719-7722
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. DAVID SCOTT SCHILLINGER
Credential : M.D.
Telephone Number : 800-815-8377
Provider Enumeration Date : 05/27/2006
Last Update Date : 03/12/2008

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Directions to “LAKE CITY MEDICAL CENTER EMERGENCY PHYSICIANS, LLC ” Practice Location

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