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NPI Code Detail

MEDICARE: JOHN FIELD M.D.

MEDICARE: JOHN FIELD M.D.
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 Physician036137414IL
2207P00000XEmergency Medicine PhysicianME129796FL

Other Identifiers

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

General Provider Information

NPI Number : 1578906624
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN FIELD M.D.
Provider Business Mailing Address
First Line : 4725 N FEDERAL HWY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-4668
Country : US
Telephone Number : 954-771-8000
Fax Number :
Provider Business Practice Location Address
First Line : 4725 N FEDERAL HWY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-4668
Country : US
Telephone Number : 954-771-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2013
Last Update Date : 11/06/2024

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