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NPI Code Detail

MEDICARE: FLORIDA EM-I MEDICAL SERVICES PA

MEDICARE: FLORIDA EM-I MEDICAL SERVICES PA
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 Physician

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 : 1720037732
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA EM-I MEDICAL SERVICES PA
Provider Business Mailing Address
First Line : PO BOX 41579
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19101-1579
Country : US
Telephone Number : 800-507-8874
Fax Number : 727-507-3630
Provider Business Practice Location Address
First Line : 1500 LEE BLVD
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33936-4835
Country : US
Telephone Number : 239-368-4410
Fax Number : 239-368-4420
Authorized Official
Title or Position : VICE PRESIDENT
Name : TERRY MEADOWS
Credential :
Telephone Number : 800-507-8874
Provider Enumeration Date : 05/08/2006
Last Update Date : 07/12/2007

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Directions to “FLORIDA EM-I MEDICAL SERVICES PA ” Practice Location

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