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NPI Code Detail

MEDICARE: BELFORT EMERGENCY PHYSICIANS

MEDICARE: BELFORT EMERGENCY PHYSICIANS
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
140871OTHERFLBLUE SHIELD

General Provider Information

NPI Number : 1912195108
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELFORT EMERGENCY PHYSICIANS
Provider Business Mailing Address
First Line : PO BOX 13583
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19101-3583
Country : US
Telephone Number : 800-507-8874
Fax Number : 727-507-3618
Provider Business Practice Location Address
First Line : 4201 BELFORT RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-1431
Country : US
Telephone Number : 904-296-3700
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GREGORY BYRNE
Credential : MD
Telephone Number : 800-355-0808
Provider Enumeration Date : 10/12/2007
Last Update Date : 04/20/2008

Similar Medicare Providers

1194810481 — DR. KELVIN JAMES WILEY M.D.
Practice Location Address:
4201 BELFORT RD
JACKSONVILLE, FL
32216-1431
Practice Phone: 803-718-6251
Practice Fax:
1205823267 — DR. MICHAEL GORDON MAXWELL M.D.
Practice Location Address:
4201 BELFORT RD
JACKSONVILLE, FL
32216-1431
Practice Phone: 904-296-3700
Practice Fax:
1518946706 — DR. CATHERINE V NORTHROP MD
Practice Location Address:
4201 BELFORT RD
JACKSONVILLE, FL
32216-1431
Practice Phone: 904-296-3700
Practice Fax:
1659351401 — DR. FLORIANE WU M.D.
Practice Location Address:
4201 BELFORT RD
JACKSONVILLE, FL
32216-1431
Practice Phone: 904-296-3700
Practice Fax:
1235195272 — DR. MAE M COLEMAN MD
Practice Location Address:
4201 BELFORT RD
JACKSONVILLE, FL
32216-1431
Practice Phone: 904-296-3700
Practice Fax: 954-858-0404
1588610026 — JOHN LOUIS MAZZELLA MD
Practice Location Address:
4201 BELFORT RD
JACKSONVILLE, FL
32216-1431
Practice Phone: 904-296-3886
Practice Fax: 904-551-0709
1598779639 — NANCY S MILLER MD
Practice Location Address:
4201 BELFORT RD , FAMILY BIRTH PLACE
JACKSONVILLE, FL
32216-1431
Practice Phone: 904-450-7778
Practice Fax:

Directions to “BELFORT EMERGENCY PHYSICIANS ” Practice Location

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