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NPI Code Detail

MEDICARE: OKEECHOBEE EMERGENCY PHYSICIANS INC

MEDICARE: OKEECHOBEE EMERGENCY PHYSICIANS INC
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 PhysicianFL

General Provider Information

NPI Number : 1487640645
Entity Type Code : Organization
Provider Name (Legal Business Name) : OKEECHOBEE EMERGENCY PHYSICIANS INC
Provider Business Mailing Address
First Line : 1607 NW FEDERAL HWY
Second Line : #B
City : STUART
State : FL
Zip : 34994-9600
Country : US
Telephone Number : 772-232-9032
Fax Number : 772-232-9211
Provider Business Practice Location Address
First Line : 1796 HIGHWAY 441 N
Second Line :
City : OKEECHOBEE
State : FL
Zip : 34972-1918
Country : US
Telephone Number : 772-232-9032
Fax Number : 772-232-9211
Authorized Official
Title or Position : PRESIDENT
Name : JONATHAN MICHAEL ADELBERG
Credential : M.D.
Telephone Number : 772-232-9032
Provider Enumeration Date : 09/23/2005
Last Update Date : 08/13/2007

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Directions to “OKEECHOBEE EMERGENCY PHYSICIANS INC ” Practice Location

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