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NPI Code Detail

MEDICARE: GLOBAL PHYSICIAN NETWORK LLC SERIES I

MEDICARE: GLOBAL PHYSICIAN NETWORK LLC SERIES I
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 : 1437675279
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOBAL PHYSICIAN NETWORK LLC SERIES I
Provider Business Mailing Address
First Line : PO BOX 10570
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32120-0570
Country : US
Telephone Number : 386-274-7800
Fax Number : 386-274-7801
Provider Business Practice Location Address
First Line : 2345 BOBCAT VILLAGE CENTER RD
Second Line :
City : NORTH PORT
State : FL
Zip : 34288-8999
Country : US
Telephone Number : 941-257-2800
Fax Number : 386-274-7801
Authorized Official
Title or Position : PRESIDENT
Name : JOEL GERBER
Credential : MD
Telephone Number : 941-917-8507
Provider Enumeration Date : 08/14/2017
Last Update Date : 08/14/2017

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Directions to “GLOBAL PHYSICIAN NETWORK LLC SERIES I ” Practice Location

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