MEDICARE: 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
1	207P00000X	Emergency Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568805596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGENCY PHYSICIANS INC

Provider Business Mailing Address
First Line	:	820 PRUDENTIAL DR
Second Line	:	SUITE 713
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8210
Country	:	US
Telephone Number	:	904-396-5682
Fax Number	:	904-346-0864

Provider Business Practice Location Address
First Line	:	1771 BAPTIST CLAY RD
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-8501
Country	:	US
Telephone Number	:	904-396-5682
Fax Number	:	904-346-0864

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD MILES STROMBERG
Credential	:	MD
Telephone Number	:	904-396-5682

Provider Enumeration Date	:	04/09/2013
Last Update Date	:	04/09/2013

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