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NPI Code Detail

MEDICARE: PRECISION ER MEDICAL SERVICES PLLC

MEDICARE: PRECISION ER MEDICAL SERVICES PLLC
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
1261QC0050XCritical Access Hospital Clinic/Center

General Provider Information

NPI Number : 1467027045
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRECISION ER MEDICAL SERVICES PLLC
Provider Business Mailing Address
First Line : 9044 SE BRIDGE RD
Second Line :
City : HOBE SOUND
State : FL
Zip : 33455-5313
Country : US
Telephone Number : 772-263-1642
Fax Number : 772-546-9535
Provider Business Practice Location Address
First Line : 1401 E TRINITY MILLS RD
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-1442
Country : US
Telephone Number : 972-810-0700
Fax Number : 915-213-0824
Authorized Official
Title or Position : OFFICE MANAGER
Name : JENEANE M. WAKULA
Credential :
Telephone Number : 772-546-9591
Provider Enumeration Date : 05/25/2021
Last Update Date : 05/25/2021

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Directions to “PRECISION ER MEDICAL SERVICES PLLC ” Practice Location

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