MEDICARE: EMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP

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	:	1689669608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP

Provider Business Mailing Address
First Line	:	PO BOX 628296
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32862-8296
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10155 DOWDEN RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832
Country	:	US
Telephone Number	:	407-841-5111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. DANIEL BRENNAN
Credential	:	MD
Telephone Number	:	888-898-3293

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	06/29/2021

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